Healthcare Provider Details

I. General information

NPI: 1518569359
Provider Name (Legal Business Name): COURTNEY BRENSINGER MA, ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 S 5TH ST
READING PA
19602-2642
US

IV. Provider business mailing address

450 S 5TH ST
READING PA
19602-2642
US

V. Phone/Fax

Practice location:
  • Phone: 610-973-4914
  • Fax:
Mailing address:
  • Phone: 610-973-4914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016986
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: