Healthcare Provider Details

I. General information

NPI: 1124608922
Provider Name (Legal Business Name): J'NIYA CURETON LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: J'NIYA MORANT MSQP

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 S MIAMI BLVD STE 136
DURHAM NC
27703-5799
US

IV. Provider business mailing address

862 NEWFOUND HOLLOW DR
CHARLOTTE NC
28214-4503
US

V. Phone/Fax

Practice location:
  • Phone: 919-797-0549
  • Fax:
Mailing address:
  • Phone: 704-918-6608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA16457
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA16457
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: