Provider Demographics
NPI:1700958188
Name:CURRAN-TAYLOR, TINA ROBIN (LPC)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:ROBIN
Last Name:CURRAN-TAYLOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:ROBIN
Other - Last Name:CURRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2437 LAUREL COVE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2073
Mailing Address - Country:US
Mailing Address - Phone:757-228-1098
Mailing Address - Fax:
Practice Address - Street 1:3630 S PLAZA TRL STE 150A
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-3371
Practice Address - Country:US
Practice Address - Phone:757-373-5128
Practice Address - Fax:757-340-0700
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4565101YP2500X
VA0701004008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004945395Medicaid