Provider Demographics
NPI:1053108027
Name:HUGHBANKS, COURTNEY NOELLE (MS)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:NOELLE
Last Name:HUGHBANKS
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4019 PALAMINO RD APT 2
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2358
Mailing Address - Country:US
Mailing Address - Phone:308-293-3174
Mailing Address - Fax:
Practice Address - Street 1:4019 PALAMINO RD APT 2
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2358
Practice Address - Country:US
Practice Address - Phone:308-293-3174
Practice Address - Fax:308-293-3174
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health