Provider Demographics
NPI:1689311250
Name:ALRIDGE, COURTNEY LASHUN
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LASHUN
Last Name:ALRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PATTERSON HALL ROOM 113 COLLEGE OF EDUCATION UNIVERSITY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38152-0001
Mailing Address - Country:US
Mailing Address - Phone:901-678-2841
Mailing Address - Fax:901-678-5114
Practice Address - Street 1:3306 OVERTON CROSSING ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-6549
Practice Address - Country:US
Practice Address - Phone:901-357-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool