Provider Demographics
NPI:1073409900
Name:CURTIS, GENEVIEVE M (LPC-A)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 OAK DR
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-1667
Mailing Address - Country:US
Mailing Address - Phone:915-630-5045
Mailing Address - Fax:
Practice Address - Street 1:2824 TERRELL RD STE 402
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-5571
Practice Address - Country:US
Practice Address - Phone:903-455-1073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98771101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional