Provider Demographics
NPI:1740821347
Name:CURRY, MISTY RENEE
Entity type:Individual
Prefix:
First Name:MISTY
Middle Name:RENEE
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-1532
Mailing Address - Country:US
Mailing Address - Phone:270-206-2601
Mailing Address - Fax:
Practice Address - Street 1:121 S PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-1532
Practice Address - Country:US
Practice Address - Phone:270-206-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY62531041C0700X
KY2573041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical