Provider Demographics
NPI:1528605433
Name:SIMMONS, CHRISTINA SONA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:SONA
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 BRIARCLIFF RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2655
Mailing Address - Country:US
Mailing Address - Phone:404-888-7313
Mailing Address - Fax:404-888-7546
Practice Address - Street 1:1995 N PARK PL SE STE 422
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2072
Practice Address - Country:US
Practice Address - Phone:770-372-3103
Practice Address - Fax:919-416-0804
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010960101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health