Provider Demographics
NPI:1003022864
Name:CHRISTIAN, ELIZABETH MINTON (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MINTON
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 OVERLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3746
Mailing Address - Country:US
Mailing Address - Phone:913-383-2292
Mailing Address - Fax:
Practice Address - Street 1:8101 OVERLAND PARK DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3746
Practice Address - Country:US
Practice Address - Phone:913-383-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical