Provider Demographics
NPI:1740994706
Name:AIKENS, CHRISTIAN JOI (LMSW)
Entity type:Individual
Prefix:MISS
First Name:CHRISTIAN
Middle Name:JOI
Last Name:AIKENS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 EASTCREEK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-1327
Mailing Address - Country:US
Mailing Address - Phone:469-213-9878
Mailing Address - Fax:
Practice Address - Street 1:5008 EASTCREEK DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1327
Practice Address - Country:US
Practice Address - Phone:469-213-9878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107377104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker