Basic Information
| Provider Information | |||||||||
| NPI: | 1447384227 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OWINGS | ||||||||
| FirstName: | COURTNEY | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LMFT LCAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23 MORSE DR | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288061421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284069383 | ||||||||
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| Practice Location | |||||||||
| Address1: | 204 CHARLOTTE HWY STE E | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288038681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283335708 | ||||||||
| FaxNumber: | 8284841025 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 11/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 2003 | NC | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 106H00000X | 1246 | NC | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
ID Information
| ID | Type | State | Issuer | Description | 6105222 | 05 | NC | MEDICAID |