Provider Demographics
NPI:1285114967
Name:COLE, CHRISTY (LMSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:
Last Name:COLE
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 1:3217 BUCK HORN CV
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5112
Mailing Address - Country:US
Mailing Address - Phone:205-834-6118
Mailing Address - Fax:
Practice Address - Street 1:3217 BUCK HORN CV
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5112
Practice Address - Country:US
Practice Address - Phone:205-834-6118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4007G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker