Provider Demographics
NPI:1942245394
Name:LINCOLN, CURTIS LEO (LPC)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:LEO
Last Name:LINCOLN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4963 GRAPELAND DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-1122
Mailing Address - Country:US
Mailing Address - Phone:915-329-2019
Mailing Address - Fax:915-751-0801
Practice Address - Street 1:4963 GRAPELAND DR # 79924
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-1122
Practice Address - Country:US
Practice Address - Phone:915-329-2019
Practice Address - Fax:915-544-1997
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX12329101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health