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NPI Code Detail

MEDICARE: COURTNEY EPPS LMSW

MEDICARE: COURTNEY EPPS LMSW
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
1101YM0800XMental Health Counselor069277NY

General Provider Information

NPI Number : 1740989482
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY EPPS LMSW
Provider Business Mailing Address
First Line : 210 PELHAM RD APT 1F
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10805-2530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 5TH AVE RM 1909
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6658
Country : US
Telephone Number : 212-545-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2023
Last Update Date : 02/26/2024

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Directions to “ COURTNEY EPPS LMSW” Practice Location

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