Provider Demographics
NPI:1932465515
Name:HIME, COURTNEY MARIE (MA)
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:MARIE
Last Name:HIME
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:MARIE
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:343 W ANCHOR AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-1675
Mailing Address - Country:US
Mailing Address - Phone:541-554-4388
Mailing Address - Fax:
Practice Address - Street 1:343 W ANCHOR AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-1675
Practice Address - Country:US
Practice Address - Phone:541-554-4388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-08
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
ORT1715106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist