Healthcare Provider Details

I. General information

NPI: 1861219941
Provider Name (Legal Business Name): COURTNEY LEANN HAY BCNP, LEHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY LEANN JETTON

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 GREENWOOD MOORINGSPORT RD
SHREVEPORT LA
71107-8971
US

IV. Provider business mailing address

1520 GREENWOOD MOORINGSPORT RD
SHREVEPORT LA
71107-8971
US

V. Phone/Fax

Practice location:
  • Phone: 318-532-9589
  • Fax:
Mailing address:
  • Phone: 318-440-3107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: