Provider Demographics
NPI:1790349348
Name:POPA, CHRISSANY G (LMSW)
Entity Type:Individual
Prefix:
First Name:CHRISSANY
Middle Name:G
Last Name:POPA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHRISSANY
Other - Middle Name:G
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:LAPEER COUNTY COMMUNITY MENTAL HEALTH
Mailing Address - Street 2:1570 SUNCREST DR
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-1154
Mailing Address - Country:US
Mailing Address - Phone:810-667-0500
Mailing Address - Fax:810-664-8728
Practice Address - Street 1:1570 SUNCREST DR
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1154
Practice Address - Country:US
Practice Address - Phone:810-667-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker