Provider Demographics
NPI:1659883353
Name:FAUNCE, COURTNEY AUGUST (RMHCI)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:AUGUST
Last Name:FAUNCE
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6011 DREXEL LN APT 1201
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-5223
Mailing Address - Country:US
Mailing Address - Phone:239-285-5883
Mailing Address - Fax:
Practice Address - Street 1:12553 NEW BRITTANY BLVD # 32
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3625
Practice Address - Country:US
Practice Address - Phone:239-285-5883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health