Healthcare Provider Details

I. General information

NPI: 1508847864
Provider Name (Legal Business Name): JOHN D. CURTIN III M.S., LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 E LAKE MARY BLVD
SANFORD FL
32771-5003
US

IV. Provider business mailing address

3239 EGRETS LANDING DR
LAKE MARY FL
32746-7420
US

V. Phone/Fax

Practice location:
  • Phone: 407-322-8645
  • Fax:
Mailing address:
  • Phone: 407-488-5428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 7628
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number3332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: