Provider Demographics
NPI:1801417639
Name:GALLAGHER, CHRISTI JOHNSON (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:JOHNSON
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:JOHNSON
Other - Last Name:HEDGEPETH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2822 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-4559
Mailing Address - Country:US
Mailing Address - Phone:912-674-6455
Mailing Address - Fax:888-388-0645
Practice Address - Street 1:2822 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-4559
Practice Address - Country:US
Practice Address - Phone:912-674-6455
Practice Address - Fax:888-388-0645
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0082211041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical