Healthcare Provider Details

I. General information

NPI: 1205141116
Provider Name (Legal Business Name): COURTNEY ALLISON MORTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 N LAMAR BLVD STE 100
AUSTIN TX
78705-4920
US

IV. Provider business mailing address

2201 N LAMAR BLVD STE 100
AUSTIN TX
78705-4920
US

V. Phone/Fax

Practice location:
  • Phone: 512-814-8255
  • Fax: 512-480-0895
Mailing address:
  • Phone: 512-814-8255
  • Fax: 512-480-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number55447
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: