Shields, Courtney Nicole

Shields, Courtney Nicole is an individual health care provider with primary practice located at 805 Alexa Dr Ste D , Mt Sterling KY 40353-1000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shields, Courtney Nicole can be contacted via phone (859) 432-8002.

Contact Information

Primary practice address
805 Alexa Dr Ste D Mt Sterling KY 40353-1000
Phone: (859) 432-8002
Fax: (859) 432-8483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 246586 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 255310 Kentucky

Profile Details

NPI number 1700390218
LBN Legal business name Shields, Courtney Nicole
Credentials LCADC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2017
Last updated Dec 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700390218 NPPES
Kentucky MEDICAID 1790731081

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