Healthcare Provider Details

I. General information

NPI: 1568339372
Provider Name (Legal Business Name): COURTNEY MAE MCGUIRE MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 AMHERST ST
WINCHESTER VA
22601-2873
US

IV. Provider business mailing address

1870 AMHERST ST
WINCHESTER VA
22601-2873
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-3228
  • Fax:
Mailing address:
  • Phone: 540-536-3228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number0139000826
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: