MRS. COURTNEY PROFFITT NPI 1205914934

NPI Information

NPI: 1205914934
Provider Name: MRS. COURTNEY PROFFITT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
909 NE LOOP 410
SUITE 800
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 832-5000
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MRS. Courtney Proffitt is a professional counselor in San Antonio, TX. MRS. Courtney Proffitt NPI is 1205914934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

909 NE LOOP 410
SUITE 800
SAN ANTONIO, TX
ZIP 78209-311
Phone: (210) 832-5000
Fax: (210) 832-5005

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	18971	TEXAS	Yes
2	106H00000X	Marriage & Family Therapist		5197	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1677031	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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