Healthcare Provider Details

I. General information

NPI: 1609121631
Provider Name (Legal Business Name): MS. HEATHER MARIE B CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 DANA AVE STE 220
CINCINNATI OH
45207-1342
US

IV. Provider business mailing address

PO BOX 30014
CINCINNATI OH
45230-0014
US

V. Phone/Fax

Practice location:
  • Phone: 216-468-5000
  • Fax: 216-456-8128
Mailing address:
  • Phone: 831-588-4918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number107940
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1096
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404261
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.2200273
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberART.24000103
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number107940
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: