Provider Demographics
NPI:1578664975
Name:FARRINGTON-CURTIS, DIANE (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:FARRINGTON-CURTIS
Suffix:
Gender:F
Credentials:MA LPC
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 21135
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79114-3135
Mailing Address - Country:US
Mailing Address - Phone:806-463-7001
Mailing Address - Fax:806-463-7006
Practice Address - Street 1:2202 S ONG ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-2247
Practice Address - Country:US
Practice Address - Phone:806-220-5466
Practice Address - Fax:806-463-7006
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15988101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113148401Medicaid