Provider Demographics
NPI:1336716745
Name:CURRY, DEONDRA (LPC)
Entity Type:Individual
Prefix:
First Name:DEONDRA
Middle Name:
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:PO BOX 450562
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31145-0562
Mailing Address - Country:US
Mailing Address - Phone:470-910-6465
Mailing Address - Fax:
Practice Address - Street 1:5968 WELLBORN TRCE
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-7937
Practice Address - Country:US
Practice Address - Phone:470-910-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-06
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012078101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor