Provider Demographics
NPI:1912457409
Name:CURTIS, PARKER TERESE (LPC)
Entity Type:Individual
Prefix:
First Name:PARKER
Middle Name:TERESE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PARKER
Other - Middle Name:
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2929 COVINGTON CT LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-4941
Mailing Address - Country:US
Mailing Address - Phone:517-798-6745
Mailing Address - Fax:888-795-0018
Practice Address - Street 1:2929 COVINGTON CT LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4941
Practice Address - Country:US
Practice Address - Phone:517-798-6745
Practice Address - Fax:888-795-0018
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health