Individual
COURTNI MYA SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BONAIR ST, FREDERICKSBURG, VA 22405-2797
(540) 429-1189
Mailing address
111 BONAIR ST, FREDERICKSBURG, VA 22405-2797
(540) 429-1189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
342000000X
Transportation Network Company
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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