Provider Demographics
NPI:1427382134
Name:CURTIS, TAMITRA DIONNE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:TAMITRA
Middle Name:DIONNE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12615 RAIA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3744
Mailing Address - Country:US
Mailing Address - Phone:832-386-8469
Mailing Address - Fax:
Practice Address - Street 1:12615 RAIA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3744
Practice Address - Country:US
Practice Address - Phone:832-386-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional