Provider Demographics
NPI:1649028432
Name:TOAVS, COURTNEY MARIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MARIE
Last Name:TOAVS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:MARIE
Other - Last Name:THOMASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 2ND ST SW
Mailing Address - Street 2:
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-2312
Mailing Address - Country:US
Mailing Address - Phone:952-374-8359
Mailing Address - Fax:
Practice Address - Street 1:208 2ND ST SW
Practice Address - Street 2:
Practice Address - City:NEW PRAGUE
Practice Address - State:MN
Practice Address - Zip Code:56071-2312
Practice Address - Country:US
Practice Address - Phone:952-374-8359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN30817101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health