Provider Demographics
NPI:1669573044
Name:EDWARDS, CHRISTY L (LSCSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:L
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 MASSACHUSETTS ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2345
Mailing Address - Country:US
Mailing Address - Phone:785-766-6800
Mailing Address - Fax:785-842-4025
Practice Address - Street 1:719 MASSACHUSETTS ST
Practice Address - Street 2:SUITE 125
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2345
Practice Address - Country:US
Practice Address - Phone:785-766-6800
Practice Address - Fax:785-842-4025
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical