MEDICARE: MRS. COURTNEY ALLISON MORTON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	55447	TX

General Provider Information

NPI Number	:	1205141116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. COURTNEY ALLISON MORTON LCSW

Provider Business Mailing Address
First Line	:	2201 N LAMAR BLVD STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-4920
Country	:	US
Telephone Number	:	512-814-8255
Fax Number	:	512-480-0895

Provider Business Practice Location Address
First Line	:	2201 N LAMAR BLVD STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-4920
Country	:	US
Telephone Number	:	512-814-8255
Fax Number	:	512-480-0895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	02/20/2014

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