MEDICARE: COURTNEY KAY BINDEL LMSW

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	171M00000X	Case Manager/Care Coordinator	35275	TX

General Provider Information

NPI Number	:	1750554424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY KAY BINDEL LMSW

Provider Business Mailing Address
First Line	:	1704 WOODSTOCK BLVD APT 1203
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 WOODSTOCK BLVD APT 1203
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-5451
Country	:	US
Telephone Number	:	817-223-9179
Fax Number	:

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

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	07/23/2010

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