Healthcare Provider Details

I. General information

NPI: 1104479971
Provider Name (Legal Business Name): CURASIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 MILL ST STE 102
RENO NV
89502-1470
US

IV. Provider business mailing address

700 PLAZA CIR STE N
CLINTON SC
29325-7556
US

V. Phone/Fax

Practice location:
  • Phone: 775-870-1566
  • Fax: 775-301-6653
Mailing address:
  • Phone: 864-547-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GAIL A WILSON
Title or Position: BILLING ADMINISTRATOR
Credential:
Phone: 864-878-1528