Provider Demographics
NPI:1063962033
Name:BUCKNER, CHRISTINA GREENWELL (MS, LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:GREENWELL
Last Name:BUCKNER
Suffix:
Gender:F
Credentials:MS, LPC-MHSP
Other - Prefix:MRS
Other - First Name:CHRISTY
Other - Middle Name:GREENWELL
Other - Last Name:BUCKNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:109 HOLIDAY CT
Mailing Address - Street 2:D6
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3000
Mailing Address - Country:US
Mailing Address - Phone:615-415-8884
Mailing Address - Fax:
Practice Address - Street 1:109 HOLIDAY CT
Practice Address - Street 2:D6
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3000
Practice Address - Country:US
Practice Address - Phone:615-415-8884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health