Provider Demographics
NPI:1356031793
Name:PERRY, CURTIS LEE (LMFT ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:LEE
Last Name:PERRY
Suffix:
Gender:M
Credentials:LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 N POINT DR
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-5309
Mailing Address - Country:US
Mailing Address - Phone:214-236-9470
Mailing Address - Fax:
Practice Address - Street 1:1650 W CHAPMAN DR STE 500
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:TX
Practice Address - Zip Code:76266-8302
Practice Address - Country:US
Practice Address - Phone:940-220-9288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204844101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health