Provider Demographics
NPI:1346578655
Name:CHRISTY, LAURIE LYNNE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:LYNNE
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:LYNNE
Other - Last Name:SHIVELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:216 LITMAN RD
Mailing Address - Street 2:APT. 9F
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3246
Mailing Address - Country:US
Mailing Address - Phone:724-290-6879
Mailing Address - Fax:
Practice Address - Street 1:112 HILLVUE DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-3426
Practice Address - Country:US
Practice Address - Phone:724-287-0791
Practice Address - Fax:714-287-2730
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional