Provider Demographics
NPI:1740778471
Name:WARE, CHRISTY (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:WARE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 BENJAMIN WAY STE 400
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-4659
Mailing Address - Country:US
Mailing Address - Phone:706-237-8303
Mailing Address - Fax:888-563-0473
Practice Address - Street 1:517 BENJAMIN WAY STE 400
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-4659
Practice Address - Country:US
Practice Address - Phone:706-237-8303
Practice Address - Fax:888-563-0473
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0054201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical