Provider Demographics
NPI:1417588872
Name:CURTIS, AMY (LCSW, CEAP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LCSW, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 CAMBRIDGE SQ STE B
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1871
Mailing Address - Country:US
Mailing Address - Phone:404-583-7421
Mailing Address - Fax:
Practice Address - Street 1:1041 CAMBRIDGE SQ STE B
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1871
Practice Address - Country:US
Practice Address - Phone:404-583-7421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0035231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical