Healthcare Provider Details

I. General information

NPI: 1003281387
Provider Name (Legal Business Name): CURTIS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 12/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2627 STATE ROUTE U
WILLOW SPRINGS MO
65793-3426
US

IV. Provider business mailing address

2627 STATE ROUTE U
WILLOW SPRINGS MO
65793-3426
US

V. Phone/Fax

Practice location:
  • Phone: 417-252-1942
  • Fax: 417-469-0456
Mailing address:
  • Phone: 417-252-1942
  • Fax: 417-469-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2004037114
License Number StateMO

VIII. Authorized Official

Name: LAURA L. CURTIS
Title or Position: OWNER
Credential: MS, LPC-S
Phone: 417-252-1942