Provider Demographics
NPI:1053507152
Name:EASLER, CHRISTINA LEE (LISW-CP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LEE
Last Name:EASLER
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 STONERIDGE DR
Mailing Address - Street 2:APT F20
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8241
Mailing Address - Country:US
Mailing Address - Phone:803-960-2133
Mailing Address - Fax:803-896-6157
Practice Address - Street 1:2712 MIDDLEBURG DR
Practice Address - Street 2:STE 206
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2415
Practice Address - Country:US
Practice Address - Phone:803-779-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical