Provider Demographics
NPI:1922271014
Name:CHRISP, CHRISTY STITH
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:STITH
Last Name:CHRISP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 ROCK PILLAR RD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-7889
Mailing Address - Country:US
Mailing Address - Phone:919-359-9795
Mailing Address - Fax:919-359-9796
Practice Address - Street 1:1670 ROCK PILLAR RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-7889
Practice Address - Country:US
Practice Address - Phone:919-359-9795
Practice Address - Fax:919-359-9796
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)