Provider Demographics
NPI:1730743204
Name:WELK, COURTNEY K (LPC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:K
Last Name:WELK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2461 ALYDAR DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7952
Mailing Address - Country:US
Mailing Address - Phone:412-916-7367
Mailing Address - Fax:
Practice Address - Street 1:2200 GARDEN DR STE 200B
Practice Address - Street 2:
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7869
Practice Address - Country:US
Practice Address - Phone:412-937-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional