Healthcare Provider Details

I. General information

NPI: 1710750112
Provider Name (Legal Business Name): CURAM COUNSEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1079B CALLE CARMILITA
SANTA FE NM
87505-6275
US

IV. Provider business mailing address

1079B CALLE CARMILITA
SANTA FE NM
87505-6275
US

V. Phone/Fax

Practice location:
  • Phone: 314-409-2003
  • Fax:
Mailing address:
  • Phone: 314-409-2003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA DEE CALL
Title or Position: OWNER
Credential:
Phone: 314-409-2003