Provider Demographics
NPI:1144645920
Name:MATZENBACHER, CURT (LPC)
Entity type:Individual
Prefix:MR
First Name:CURT
Middle Name:
Last Name:MATZENBACHER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 W MAPLE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5333
Mailing Address - Country:US
Mailing Address - Phone:304-518-2878
Mailing Address - Fax:
Practice Address - Street 1:417 W MAPLE AVE STE 105
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5333
Practice Address - Country:US
Practice Address - Phone:304-518-2878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM1709028101Y00000X
106H00000X
ARP1705301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty