Provider Demographics
NPI:1083187082
Name:CURRINGTON, BRENT EDWARD
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:EDWARD
Last Name:CURRINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 MAIN AVE SW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44481-1058
Mailing Address - Country:US
Mailing Address - Phone:234-830-0047
Mailing Address - Fax:234-600-6664
Practice Address - Street 1:108 MAIN AVE SW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44481-1058
Practice Address - Country:US
Practice Address - Phone:234-830-0047
Practice Address - Fax:234-600-5564
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2023-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2203125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health