DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KOURTNEY SYMONE RAVEN LPC

MEDICARE: KOURTNEY SYMONE RAVEN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor93514TX

General Provider Information

NPI Number : 1598589137
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOURTNEY SYMONE RAVEN LPC
Provider Business Mailing Address
First Line : PO BOX 38
Second Line :
City : DAYTON
State : TX
Zip : 77535-0001
Country : US
Telephone Number : 936-262-7800
Fax Number :
Provider Business Practice Location Address
First Line : 104 W CLAYTON ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2241
Country : US
Telephone Number : 936-262-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2024
Last Update Date : 10/22/2025

Similar Medicare Providers

1245943406 — SERENITY COUNSELING CENTER
Practice Location Address:
104 W CLAYTON ST
DAYTON, TX
77535-2241
Practice Phone: 936-262-7800
Practice Fax: 281-899-5295
1114241767 — LAURA ANN JORDAN LPC
Practice Location Address:
104 W CLAYTON ST
DAYTON, TX
77535-2241
Practice Phone: 936-262-7800
Practice Fax:
1174246839 — SHANNON RENEE CAMPBELL
Practice Location Address:
104 W CLAYTON ST
DAYTON, TX
77535-2241
Practice Phone: 936-262-7800
Practice Fax: 281-899-5295
1609637727 — ADRIANA MICHELLE VILLARREAL MA, LPC, SP
Practice Location Address:
104 W CLAYTON ST
DAYTON, TX
77535-2241
Practice Phone: 936-262-7800
Practice Fax: 281-899-5295
1578380481 — TERESA ANN TROUSDALE
Practice Location Address:
104 W CLAYTON ST
DAYTON, TX
77535-2241
Practice Phone: 936-262-7800
Practice Fax: 281-899-5295
1700020542 — MISS TIFFANY MARIE SEIBERT
Practice Location Address:
2726 HAVERSTRAW AVE
DAYTON, OH
45414-2241
Practice Phone: 937-272-1774
Practice Fax:

Directions to “ KOURTNEY SYMONE RAVEN LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.