Provider Demographics
NPI:1023351954
Name:MAY, COURTNEY (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13650 JOHN WAYNE
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:OK
Mailing Address - Zip Code:73077-9307
Mailing Address - Country:US
Mailing Address - Phone:580-370-6455
Mailing Address - Fax:580-370-6455
Practice Address - Street 1:13650 JOHN WAYNE
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OK
Practice Address - Zip Code:73077-9307
Practice Address - Country:US
Practice Address - Phone:805-721-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200477490BMedicaid