Crawford, Christa Lynn
Crawford, Christa Lynn is an sole proprietor health care provider with primary practice located at 2914 N Oak St , Valdosta GA 31602-1718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crawford, Christa Lynn can be contacted via phone (229) 333-0300.Contact Information
Primary practice address
2914 N Oak St
Valdosta GA 31602-1718
Phone: (229) 333-0300
Fax: (229) 333-0306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003454 | Georgia |
Profile Details
| NPI number | 1275726184 |
|---|---|
| LBN Legal business name | Crawford, Christa Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jul 15th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275726184 | NPPES |
| Georgia | MEDICAID | 003110785A |
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