DR. KOURTNEY T. VAILLANCOURT PH.D NPI 1003009432

Counselor (Mental Health) in Las Cruces, NM

About KOURTNEY VAILLANCOURT

Kourtney Vaillancourt is a provider in Las Cruces, NM. The NPI number assigned to this provider is 1003009432. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 9 years ago.

NPI1003009432 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. KOURTNEY T. VAILLANCOURT PH.D
Provider Location Address505 S MAIN ST 129 LORETTO TOWNE CENTRE LAS CRUCES, NM 88001 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address505 S MAIN ST 129 LORETTO TOWNE CENTRE LAS CRUCES, NM 88001 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-08-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. KOURTNEY T. VAILLANCOURT PH.D
505 S MAIN ST
129 LORETTO TOWNE CENTRE
LAS CRUCES, NM
ZIP 88001
Phone: (575) 525-5644
Fax: (575) 525-5637
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Mailing Address

DR. KOURTNEY T. VAILLANCOURT PH.D
505 S MAIN ST
129 LORETTO TOWNE CENTRE
LAS CRUCES, NM
ZIP 88001
Phone: (575) 525-5644
Fax: (575) 525-5637

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.0102221
License StateNM

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)0109031NMNo
2106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist0109041NMNo

Taxonomy Description: a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Map Location


DR. KOURTNEY T. VAILLANCOURT PH.D address is 505 S MAIN ST 129 LORETTO TOWNE CENTRE LAS CRUCES, NM 88001

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023145414 ESTELA M BARRIO MSW
Individual
Social Worker (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1023145422 ROBERT HARRY BERKOWITZ M.S.W.
Individual
Social Worker (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1063549210MS. MARTHA A WARD M ED. SCHOOL PSYCHOL
Individual
Psychologist (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1083741185 MARJORIE CARSON- LA PAGE P.T.
Individual
Physical Therapist505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1124155114MRS. SANDRA LEA CRADDOCK OTRL
Individual
Occupational Therapist505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1326175522 JAMIE R LA PAGE P.T.
Individual
Physical Therapist505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1336276690MR. PAUL W MINTER LISW
Individual
Social Worker (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1386771582 ELIZABETH A KELK PT
Individual
Physical Therapist505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1417084658 MICHAEL D SIMPSON PH.D
Individual
Psychologist (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1477680494 RC HENRY FRANCIS OTRL
Individual
Occupational Therapist505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1477680726MRS. BELINDA R LOPEZ LMSW
Individual
Social Worker (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1528195831 CHRISTINA LYNN HERRERA MA
Individual
Psychologist (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1558498873 ABRAHAM P DELEON
Individual
Social Worker (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1598892705 JUDITH PATRICIA QUINTANA PH.D
Individual
Psychologist (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1629061783 JEANNE PROVENCIO LPCC
Individual
Counselor (Mental Health)505 S MAIN ST STE. 129
LAS CRUCES, NM 88001
(505) 525-5644
1649307851 MINDY SUZANNE MCABEE PH.D
Individual
Psychologist (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1821125246MRS. ANNE LOWDON DALY LISW
Individual
Social Worker (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1851301857LAS CRUCES SCHOOL DISTRICT NO. 2
Organization
Student in an Organized Health Care Education/Training Program505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5884
1912034166 SHAWN ALEXANDER WHITTY NCSP
Individual
Psychologist (School)505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001
(505) 527-5823
1962539379MRS. MARSHA CARRIGAN BUCHANAN MSSA, LISW, ACSW
Individual
Social Worker (School)505 S MAIN ST SUITE 240
LAS CRUCES, NM 88001
(505) 527-5823