Provider Demographics
NPI:1326438615
Name:CURRY, KELLY (LICSW, PIP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:LICSW, PIP
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 36533
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35236-6533
Mailing Address - Country:US
Mailing Address - Phone:205-733-9755
Mailing Address - Fax:
Practice Address - Street 1:1849 DATA DR STE 309
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1202
Practice Address - Country:US
Practice Address - Phone:205-733-9755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1055-2433C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical