Provider Demographics
NPI:1447146725
Name:CALHOUN, CURTIS A JR (LLPC, SCL)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:A
Last Name:CALHOUN
Suffix:JR
Gender:M
Credentials:LLPC, SCL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-3636
Mailing Address - Country:US
Mailing Address - Phone:313-454-6841
Mailing Address - Fax:
Practice Address - Street 1:17515 W 9 MILE RD STE 755
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4422
Practice Address - Country:US
Practice Address - Phone:313-454-6841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISC0000001098277101YS0200X
MI6451024219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool