Provider Demographics
NPI:1982805925
Name:GARCIA, CHRISTY LEE (MA, NCC, LCMHC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LEE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MA, NCC, LCMHC
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:LEE
Other - Last Name:HELFST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5203
Mailing Address - Country:US
Mailing Address - Phone:704-335-2760
Mailing Address - Fax:
Practice Address - Street 1:1201 WOODRDG CTR DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-1988
Practice Address - Country:US
Practice Address - Phone:704-335-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NC6914101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104557Medicaid