Provider Demographics
NPI:1598515314
Name:CURB, KELLIE (ALC)
Entity Type:Individual
Prefix:
First Name:KELLIE
Middle Name:
Last Name:CURB
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 S CLUBVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7031
Mailing Address - Country:US
Mailing Address - Phone:205-292-8990
Mailing Address - Fax:
Practice Address - Street 1:200 OFFICE PARK DR STE 215
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2455
Practice Address - Country:US
Practice Address - Phone:205-720-0253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04288101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health