Provider Demographics
NPI:1366767956
Name:CURTIS, LINDA T (MA, ABD, LCPC, LLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:T
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MA, ABD, LCPC, LLP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:T
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3663 E SUNSET RD STE 102E
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3246
Mailing Address - Country:US
Mailing Address - Phone:313-717-6255
Mailing Address - Fax:
Practice Address - Street 1:3663 E SUNSET RD STE 102E
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3246
Practice Address - Country:US
Practice Address - Phone:313-717-6255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006903101Y00000X
MI6301012154103T00000X
NVCP0102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1366767956Medicaid