Provider Demographics
NPI:1700578333
Name:KURTZ, CHRISTI LEIGH (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:LEIGH
Last Name:KURTZ
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 N CROMWELL DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2979
Mailing Address - Country:US
Mailing Address - Phone:704-858-2850
Mailing Address - Fax:
Practice Address - Street 1:149 N CROMWELL DR
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2979
Practice Address - Country:US
Practice Address - Phone:704-858-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health