Provider Demographics
NPI:1033560230
Name:MCCURLEY, MONTAREE ELISE (LMFT)
Entity Type:Individual
Prefix:
First Name:MONTAREE
Middle Name:ELISE
Last Name:MCCURLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MONTAREE
Other - Middle Name:ELISE
Other - Last Name:MCCURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9035 HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:LAVONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30553-4135
Mailing Address - Country:US
Mailing Address - Phone:864-221-4815
Mailing Address - Fax:
Practice Address - Street 1:6715 STATE PARK RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-1831
Practice Address - Country:US
Practice Address - Phone:864-221-4815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
SC6982106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor