Curritious Tyrese Havior

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Sandersville, GA

NPI 1376425629 · NPPES record last updated Jul 25, 2025

Key facts

NPI
1376425629
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
RN297502 (GA)
Practice address
333 Harmony Church Rd
Sandersville, GA 31082-9010
Phone
(478) 361-0484
NPI assigned
Jul 25, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN297502GAMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN297502 GA Yes

Addresses

Primary practice location

333 Harmony Church Rd
Sandersville, GA 31082-9010

Mailing address

333 Harmony Church Rd
Sandersville, GA 31082-9010
Phone (478) 361-0484

Other providers in Sandersville, GA

All providers in Sandersville, GA · Psychiatric/Mental Health Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.