Healthcare Provider Details

I. General information

NPI: 1700705019
Provider Name (Legal Business Name): RAVEN CURRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 E 16TH AVE
COLUMBUS OH
43201-1600
US

IV. Provider business mailing address

804 COLTON RD
COLUMBUS OH
43207-3911
US

V. Phone/Fax

Practice location:
  • Phone: 740-412-1963
  • Fax:
Mailing address:
  • Phone: 740-412-1963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number196627
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: