Provider Demographics
NPI:1114172533
Name:CURRY, BENJAMIN POWELL JR (ED,D,)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:POWELL
Last Name:CURRY
Suffix:JR
Gender:M
Credentials:ED,D,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:AL
Mailing Address - Zip Code:35447-0499
Mailing Address - Country:US
Mailing Address - Phone:205-367-2200
Mailing Address - Fax:205-367-9405
Practice Address - Street 1:190 WILLIAM E. HILL DRIVE
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:AL
Practice Address - Zip Code:35447
Practice Address - Country:US
Practice Address - Phone:205-367-2200
Practice Address - Fax:205-367-9405
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL190101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630933656OtherCHAMPUS