Provider Demographics
NPI:1720714652
Name:OSBORNE, COURTNEY BREE (LPCA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BREE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 US HWY 377 ARGYLE, TX 76226
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226
Mailing Address - Country:US
Mailing Address - Phone:817-690-2301
Mailing Address - Fax:
Practice Address - Street 1:415 US HWY 377 ARGYLE, TX 76226
Practice Address - Street 2:102
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-7622
Practice Address - Country:US
Practice Address - Phone:817-690-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional