Provider Demographics
NPI:1558807966
Name:CURTIS, TIMOTHY MICHAEL (LPC)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:MICHAEL
Last Name:CURTIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 E GRIMES ST
Mailing Address - Street 2:APT 806
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5199
Mailing Address - Country:US
Mailing Address - Phone:956-929-1392
Mailing Address - Fax:
Practice Address - Street 1:2109 E GRIMES ST
Practice Address - Street 2:APT 806
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5199
Practice Address - Country:US
Practice Address - Phone:956-929-1392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health