COURTNEY NICOLE MUDD (NPI# 1114480381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114480381 |
Entity Type | Individual |
Full Name | COURTNEY NICOLE MUDD |
Practice Address |
65 Old Springfield Rd Ste 2 Lebanon KY 40033-9185 |
Practice Telephone | 2706922509 |
Practice Fax Number | 2706922592 |
Mailing Telephone | 2706922509 |
Mailing Fax Number | 2706922592 |
Enumeration Date | 2019-04-12 |
Last Update Date | 2019-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
65 OLD SPRINGFIELD RD STE 2 |
City | LEBANON |
State | KY |
Zip Code | 40033-9185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
Find all providers in zip 40033 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336775162 | Melinda Butterfield | Counselor | 2515 Stoltz Hill Rd, Lebanon, OR 97355-1146 | 2020-03-12 |
1073145330 | Jamie L Ralston | Counselor | 5232 W State Route 63, Lebanon, OH 45036-8202 | 2020-02-05 |
1407356892 | Susannah Williams | Counselor | 1700 S Lincoln Ave Fl 3, Lebanon, PA 17042-7529 | 2018-02-13 |
1861853657 | Justin Donnelly | Counselor | 135 Quita Cir Apt B, Lebanon, TN 37087-4440 | 2016-03-08 |
1407213465 | Benjamin Peavey | Counselor | 1 Hough St, Lebanon, NH 03766-1213 | 2016-01-21 |
1093107856 | Leslie D Anders | Counselor | 204 Cook Rd Ste 400, Lebanon, OH 45036-9600 | 2015-03-03 |
1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
1063776037 | Tammy Lynn Mattingly | Counselor | 2894 Sam Browning Rd, Lebanon, KY 40033-9114 | 2012-06-25 |
1114205739 | Katie Baghli | Counselor | 204 Hathaway Park, Lebanon, PA 17042-6162 | 2011-07-31 |
1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
Find all providers in LEBANON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.