Provider Demographics
NPI:1922413160
Name:MCCARTHY, COURTNEY (LMFT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:REINWAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53530-0130
Mailing Address - Country:US
Mailing Address - Phone:608-776-4800
Mailing Address - Fax:
Practice Address - Street 1:627 MAIN ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53530
Practice Address - Country:US
Practice Address - Phone:608-776-4912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI101YM0800XMedicaid