Courtney Dawn Spaulding

Individual provider Active NPI Mental Health Counselor · Kermit, WV

NPI 1104749928 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1104749928
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2471 Marrowbone Creek Rd
Kermit, WV 25674-7314
Phone
(304) 601-9025
NPI assigned
Jul 30, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2471 Marrowbone Creek Rd
Kermit, WV 25674-7314

Mailing address

2471 Marrowbone Creek Rd
Kermit, WV 25674-7314
Phone (304) 601-9025

Other providers in Kermit, WV

All providers in Kermit, WV · Mental Health Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.