MEDICARE: COURTNEY M. ENGLAND M.S., LPC

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	101YP2500X	Professional Counselor	66150	TX

General Provider Information

NPI Number	:	1710328919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY M. ENGLAND M.S., LPC

Provider Business Mailing Address
First Line	:	11804 PONDEROSA PINE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 LONG PRAIRIE RD STE A-1
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4958
Country	:	US
Telephone Number	:	469-322-1470
Fax Number	:

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

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	07/16/2013

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