Healthcare Provider Details

I. General information

NPI: 1376072355
Provider Name (Legal Business Name): TIMYRA CURRY LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 PATIENT CARE DR STE 104
LANSING MI
48911-4276
US

IV. Provider business mailing address

3960 PATIENT CARE DR STE 104
LANSING MI
48911-4276
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-9801
  • Fax: 517-887-9826
Mailing address:
  • Phone: 517-887-9801
  • Fax: 517-887-9826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401015803
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: