Provider Demographics
NPI:1659899169
Name:CURD, ELIZABETH VIOLA
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:VIOLA
Last Name:CURD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11135 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:FOWLERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48836-9296
Mailing Address - Country:US
Mailing Address - Phone:810-360-7000
Mailing Address - Fax:
Practice Address - Street 1:11135 DAWN DR
Practice Address - Street 2:
Practice Address - City:FOWLERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48836-9296
Practice Address - Country:US
Practice Address - Phone:810-360-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional