Provider Demographics
NPI:1760274120
Name:ELHARDT, COURTNEY ANNE SNYDER
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANNE SNYDER
Last Name:ELHARDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:SNYDER
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2909 LINK RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-3219
Mailing Address - Country:US
Mailing Address - Phone:571-393-7511
Mailing Address - Fax:
Practice Address - Street 1:201 PRENTIS ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4433
Practice Address - Country:US
Practice Address - Phone:571-393-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014546101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health