Provider Demographics
NPI:1528351921
Name:CLAUDIA K. CURISTON, LCSW, LLC
Entity type:Organization
Organization Name:CLAUDIA K. CURISTON, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:CURISTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-314-2399
Mailing Address - Street 1:31 GEORGE ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-6872
Mailing Address - Country:US
Mailing Address - Phone:860-314-2399
Mailing Address - Fax:
Practice Address - Street 1:31 GEORGE ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-6872
Practice Address - Country:US
Practice Address - Phone:860-314-2399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006898251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health