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NPI Code Detail

MEDICARE: DR. COURTNEY E LAND DMIN LMHC LMFT

MEDICARE: DR. COURTNEY E LAND DMIN LMHC LMFT
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 Counselor39000734AIN
2106H00000XMarriage & Family Therapist35001337AIN
3106H00000XMarriage & Family Therapist0138KY

General Provider Information

NPI Number : 1932256096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY E LAND DMIN LMHC LMFT
Provider Business Mailing Address
First Line : 4925 CHARLESTOWN RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-9426
Country : US
Telephone Number : 812-941-9200
Fax Number : 812-941-9205
Provider Business Practice Location Address
First Line : 4925 CHARLESTOWN RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-9426
Country : US
Telephone Number : 812-941-9200
Fax Number : 812-941-9205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 09/03/2014

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