Provider Demographics
NPI:1619010402
Name:CURTICE, ALANA S (MH7904 (LMHC))
Entity Type:Individual
Prefix:MS
First Name:ALANA
Middle Name:S
Last Name:CURTICE
Suffix:
Gender:F
Credentials:MH7904 (LMHC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 S PONTE VEDRA BLVD
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-4519
Mailing Address - Country:US
Mailing Address - Phone:954-781-4329
Mailing Address - Fax:
Practice Address - Street 1:6 FAIRFIELD DR.
Practice Address - Street 2:STE. 12
Practice Address - City:PONTE VEDVA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-4519
Practice Address - Country:US
Practice Address - Phone:904-501-0959
Practice Address - Fax:904-808-1318
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health