Healthcare Provider Details

I. General information

NPI: 1376336784
Provider Name (Legal Business Name): COURTNEY RENEE SETZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NA
EFFINGHAM SC
29541-4932
US

IV. Provider business mailing address

NA
EFFINGHAM SC
29541-4932
US

V. Phone/Fax

Practice location:
  • Phone: 757-714-4177
  • Fax:
Mailing address:
  • Phone: 757-714-4177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: