Provider Demographics
NPI:1427395284
Name:CURREY, MARY BETH (LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:CURREY
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 1:548 BROCKINTON S
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-6016
Mailing Address - Country:US
Mailing Address - Phone:912-230-0993
Mailing Address - Fax:
Practice Address - Street 1:548 BROCKINTON S
Practice Address - Street 2:
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-6016
Practice Address - Country:US
Practice Address - Phone:912-230-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional