Provider Demographics
NPI:1841639390
Name:SUTHERLAND-KING, CHRISTINA HOPE (LPC, LPCS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:HOPE
Last Name:SUTHERLAND-KING
Suffix:
Gender:F
Credentials:LPC, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10698 OCEAN HIGHWAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-7208
Mailing Address - Country:US
Mailing Address - Phone:843-240-1074
Mailing Address - Fax:843-237-8304
Practice Address - Street 1:10698 OCEAN HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-7978
Practice Address - Country:US
Practice Address - Phone:843-240-1074
Practice Address - Fax:843-237-8304
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1734101YM0800X, 101YP2500X
SC2250101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health