Provider Demographics
NPI:1861219941
Name:HAY, COURTNEY LEANN (BCNP, LEHP)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:LEANN
Last Name:HAY
Suffix:
Gender:F
Credentials:BCNP, LEHP
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:LEANN
Other - Last Name:JETTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1520 GREENWOOD MOORINGSPORT RD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71107-8971
Mailing Address - Country:US
Mailing Address - Phone:318-440-3107
Mailing Address - Fax:
Practice Address - Street 1:1520 GREENWOOD MOORINGSPORT RD
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107-8971
Practice Address - Country:US
Practice Address - Phone:318-532-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No374J00000XNursing Service Related ProvidersDoula