Healthcare Provider Details

I. General information

NPI: 1982766952
Provider Name (Legal Business Name): FREDERICK C CURTIS LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SHELBURNE RD
GREENFIELD MA
01301-9622
US

IV. Provider business mailing address

20 CROSS ST
BERNARDSTON MA
01337-9564
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-1000
  • Fax: 413-774-1197
Mailing address:
  • Phone: 413-648-9736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6741
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: