Provider Demographics
NPI:1992728489
Name:CURTIS, SANDRA GAY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:GAY
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:HANTMAN
Other - Last Name:LOKITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:726 W SAINT JOHNS WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-2991
Mailing Address - Country:US
Mailing Address - Phone:828-243-6456
Mailing Address - Fax:
Practice Address - Street 1:103 S GROVE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5050
Practice Address - Country:US
Practice Address - Phone:828-692-6117
Practice Address - Fax:828-692-6978
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC005075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106057Medicaid
NC6106057Medicaid