Provider Demographics
NPI:1881394229
Name:CURINTON, TAJHAE NICOLE (LPC)
Entity type:Individual
Prefix:
First Name:TAJHAE
Middle Name:NICOLE
Last Name:CURINTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TAJHAAE
Other - Middle Name:NICOLE
Other - Last Name:CURINTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 960782
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-0782
Mailing Address - Country:US
Mailing Address - Phone:404-333-7842
Mailing Address - Fax:
Practice Address - Street 1:316 CAMERON LANDING DR
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6843
Practice Address - Country:US
Practice Address - Phone:404-333-7842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA013244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional