person
Ms. Christy Elizabeth Black, LPC,ATR-BC
Professional Counselor in Clayton, Georgia
NPI 1346380946

Christy Elizabeth Black is a Professional Counselor based in Clayton, GA and is specialized in Professional. Christy Elizabeth Black practices in Clayton, GA and has the professional credentials of LPC,ATR-BC. The NPI Number for Christy Elizabeth Black is 1346380946 and holds a License No. LPC 003219 (Georgia).

The current practice location address for Christy Elizabeth Black is 109 Old Livery Street, Clayton, GA and can be reached out via phone at 706-782-0717 and via fax at 706-782-5266.

Location: 109 Old Livery Street, Clayton, GA, 30525-0043
person
Provider Profile Details
NPI Number
1346380946
Provider Name
Christy Elizabeth Black
Credential
LPC,ATR-BC
Provider Entity Type
Individual
Gender
Female
Address
109 Old Livery Street, Clayton, GA, 30525-0043
Phone Number
706-782-0717
Fax Number
706-782-5266
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10045520 01 GA CMO AMERIGROUP
743718-000 01 GA CMO- MAGELLAN
institution
Provider Business Practice Location Address Details
Address
109 Old Livery Street
City
State
Zip
30525
Phone Number
706-782-0717
Fax Number
706-782-5266
person
Provider Business Mailing Address Details
Address
109 Old Livery Street
City
State
Zip
30525
Phone Number
706-782-0717
Fax Number
706-782-5266
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC 003219 (Georgia)
Definition
Definition to come...
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