Courtney Erica Corniuk, LMFT

Individual provider Active NPI Marriage & Family Therapist · Argyle, TX

NPI 1982241329 · NPPES record last updated Jan 24, 2022

Key facts

NPI
1982241329
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
204398 (TX)
Practice address
142 Old Town Blvd N Unit 200
Argyle, TX 76226-3954
Phone
(940) 294-7061
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
127348CAMDMarriage & Family Therapist
204398TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Cullum Counseling PLLC Current
since Feb 1, 2022
Accepting new patients

Locations

142 Old Town Blvd N
Ste 200
Lantana, TX 76226
Phone (940) 294-7061

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 127348 CA
Marriage & Family Therapist 106H00000X 204398 TX Yes

Addresses

Primary practice location

142 Old Town Blvd N Unit 200
Argyle, TX 76226-3954

Mailing address

4501 Sandera LN
Flower Mound, TX 75028-2038
Phone (714) 274-3198

Other practice location 1

1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 595-1159

Other providers in Argyle, TX

All providers in Argyle, TX · Marriage & Family Therapist in Texas

Sources for this page

Verify at the official NPI Registry.