Provider Demographics
NPI:1245799832
Name:SIMS, CHRISTINE (MA, LAPC, NCC, CGP,)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MA, LAPC, NCC, CGP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 HIRAM ACWORTH HWY BLDG 100
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2286
Mailing Address - Country:US
Mailing Address - Phone:404-790-9195
Mailing Address - Fax:
Practice Address - Street 1:848 HIRAM ACWORTH HWY BLDG 100
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2286
Practice Address - Country:US
Practice Address - Phone:404-334-7575
Practice Address - Fax:404-591-5453
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011913101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional