Provider Demographics
NPI:1952771891
Name:CURRY, MICHAEL S (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:CURRY
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 CENTENARY BOULEVARD
Mailing Address - Street 2:BLDG. 2, STE. 204
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3356
Mailing Address - Country:US
Mailing Address - Phone:318-716-8517
Mailing Address - Fax:318-426-2696
Practice Address - Street 1:2620 CENTENARY BOULEVARD
Practice Address - Street 2:BLDG. 2, STE. 204
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3356
Practice Address - Country:US
Practice Address - Phone:318-716-8517
Practice Address - Fax:318-426-2696
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7628101YM0800X, 101YP2500X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA46-1759129OtherTAX ID