Healthcare Provider Details

I. General information

NPI: 1588719223
Provider Name (Legal Business Name): REGINA DAVIS CURTIS D. MIN.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 PINEY FOREST RD SUITE 108
DANVILLE VA
24540-2867
US

IV. Provider business mailing address

440 WESTRIDGE DR
DANVILLE VA
24541-7356
US

V. Phone/Fax

Practice location:
  • Phone: 434-791-2767
  • Fax: 434-791-4944
Mailing address:
  • Phone: 434-685-3771
  • Fax: 434-791-4944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberCU74420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: