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NPI Code Detail

MEDICARE: COURTNEY LARCHELLE HOUSTON PMHNP

MEDICARE:   COURTNEY LARCHELLE HOUSTON  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5014290NC

General Provider Information

NPI Number : 1558940726
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LARCHELLE HOUSTON PMHNP
Provider Business Mailing Address
First Line : 1030 CENTRAL DR NW
Second Line :
City : CONCORD
State : NC
Zip : 28027-4296
Country : US
Telephone Number : 704-237-0787
Fax Number : 800-414-0428
Provider Business Practice Location Address
First Line : 1030 CENTRAL DR NW
Second Line :
City : CONCORD
State : NC
Zip : 28027-4296
Country : US
Telephone Number : 704-237-0787
Fax Number : 800-414-0428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 02/11/2026

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Directions to “ COURTNEY LARCHELLE HOUSTON PMHNP” Practice Location

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