Provider Demographics
NPI:1154139764
Name:KURZ, CHARITY ANNE (LPCC (OH), LPC (TX))
Entity type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:ANNE
Last Name:KURZ
Suffix:
Gender:F
Credentials:LPCC (OH), LPC (TX)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7672 COBBLERS RUN
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2321
Mailing Address - Country:US
Mailing Address - Phone:740-504-8707
Mailing Address - Fax:
Practice Address - Street 1:78 S MAIN ST
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1914
Practice Address - Country:US
Practice Address - Phone:740-504-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81316101YP2500X
OHE.2404011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional