Provider Demographics
NPI:1578624797
Name:KNOX, KRISTI LYNN (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:LYNN
Last Name:KNOX
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:MRS
Other - First Name:KRISTI
Other - Middle Name:LYNN
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA LPC
Mailing Address - Street 1:10720 CARMEL COMMONS BLVD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3785
Mailing Address - Country:US
Mailing Address - Phone:704-651-9639
Mailing Address - Fax:704-752-6448
Practice Address - Street 1:10720 CARMEL COMMONS BLVD
Practice Address - Street 2:SUITE 330
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3785
Practice Address - Country:US
Practice Address - Phone:704-651-9639
Practice Address - Fax:704-752-6448
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3625101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health