Provider Demographics
NPI:1811375140
Name:CURRY, CAROL LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:CURRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 KONET ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-4812
Mailing Address - Country:US
Mailing Address - Phone:972-986-2347
Mailing Address - Fax:
Practice Address - Street 1:3807 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-3522
Practice Address - Country:US
Practice Address - Phone:817-413-9463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66546101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional