Healthcare Provider Details

I. General information

NPI: 1508544958
Provider Name (Legal Business Name): NIA CURETON LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 W CONE BLVD STE 110
GREENSBORO NC
27408-4045
US

IV. Provider business mailing address

2587 RAVENHILL DR
FAYETTEVILLE NC
28303-5451
US

V. Phone/Fax

Practice location:
  • Phone: 336-890-8902
  • Fax: 910-483-2026
Mailing address:
  • Phone: 910-323-1543
  • Fax: 910-483-2026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA18918
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: