Provider Demographics
NPI:1003804758
Name:WAGES, CHRISTY HALL (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:HALL
Last Name:WAGES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 SCENIC HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-5603
Mailing Address - Country:US
Mailing Address - Phone:770-995-1846
Mailing Address - Fax:770-995-6614
Practice Address - Street 1:223 SCENIC HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-5603
Practice Address - Country:US
Practice Address - Phone:770-995-1846
Practice Address - Fax:770-995-6614
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003283101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional