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NPI Code Detail

MEDICARE: KOURTNEY A MAJORS MSW, LSW

MEDICARE: KOURTNEY A MAJORS MSW, LSW
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
1101YM0800XMental Health Counselor
2104100000XSocial Worker150.117884IL

General Provider Information

NPI Number : 1477121333
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOURTNEY A MAJORS MSW, LSW
Provider Business Mailing Address
First Line : 2206 EASTLAND DR STE 101
Second Line :
City : BLOOMINGTON
State : IL
Zip : 61704-7742
Country : US
Telephone Number : 901-352-0334
Fax Number :
Provider Business Practice Location Address
First Line : 2206 EASTLAND DR STE 101
Second Line :
City : BLOOMINGTON
State : IL
Zip : 61704-7742
Country : US
Telephone Number : 901-352-0334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 08/29/2025

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