Organization
COURTLAND, LLC
Active
Organization
COURTLAND, LLC
Active
Other names
THE GROWTH CENTER FOR COUNSELING AND WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY E LAND D.MIN (OWNER)
(812) 941-9200
Entity
Organization
Contact information
Practice address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Mailing address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000734A
IN
1041C0700X
Clinical Social Worker
34005525A
IN
106H00000X
Marriage & Family Therapist
0138
KY
106H00000X
Marriage & Family Therapist
35001337A
IN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
28156610A
IN
2084P0800X
Psychiatry Physician
Primary
01043542A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525541
ANTHEM
IN
Enumeration date
07/01/2007
Last updated
09/03/2014
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