Healthcare Provider Details

I. General information

NPI: 1265291264
Provider Name (Legal Business Name): CURRIE COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SNYDER RD
HERMITAGE PA
16148-3432
US

IV. Provider business mailing address

525 DUTCH LN APT 14
HERMITAGE PA
16148-2704
US

V. Phone/Fax

Practice location:
  • Phone: 724-856-0584
  • Fax:
Mailing address:
  • Phone: 724-674-7963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM DAKOTA CURRIE
Title or Position: OWNER
Credential: LCSW, MSW
Phone: 724-674-7963