Provider Demographics
NPI:1205484045
Name:BEEBE, COURTNEY MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MARIE
Last Name:BEEBE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:M
Other - Last Name:ROUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7615 E BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-4697
Mailing Address - Country:US
Mailing Address - Phone:661-345-2241
Mailing Address - Fax:
Practice Address - Street 1:851 E WESTPOINT DR
Practice Address - Street 2:SUITE 302
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:661-336-2637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1935701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical