Provider Demographics
NPI:1851057483
Name:SHIPMAN, CHRISTY LANE (CADC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LANE
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 CABANNA RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28383-7100
Mailing Address - Country:US
Mailing Address - Phone:910-258-8588
Mailing Address - Fax:
Practice Address - Street 1:2200 CLYBORN CHURCH RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-9356
Practice Address - Country:US
Practice Address - Phone:910-739-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)