Healthcare Provider Details

I. General information

NPI: 1760723464
Provider Name (Legal Business Name): ELIZABETH B. CURRY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 03/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SKYHIGH LN
LEXINGTON VA
24450-3388
US

IV. Provider business mailing address

120 SKYHIGH LN
LEXINGTON VA
24450-3388
US

V. Phone/Fax

Practice location:
  • Phone: 540-458-8590
  • Fax: 540-458-8989
Mailing address:
  • Phone: 540-458-8590
  • Fax: 540-458-8989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004947
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: