Healthcare Provider Details

I. General information

NPI: 1740584069
Provider Name (Legal Business Name): KEVIN CURTIS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2010
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 SOUTHWEST DR
JONESBORO AR
72401-5829
US

IV. Provider business mailing address

276 SOUTHWEST DR
JONESBORO AR
72401-5829
US

V. Phone/Fax

Practice location:
  • Phone: 870-970-8150
  • Fax: 888-977-2956
Mailing address:
  • Phone: 870-970-8150
  • Fax: 888-977-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6537-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: