Organization Name: | CHRISTY LEE KNOWLES, LCSW, LLC |
NPI Number: | 1003279597 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTY LEE KNOWLES (CEO) |
Mailing Address: | 1177 Silas Deane Hwy 3rd Floor Wethersfield |
State: | CT US |
Postal Code: | 061094348 |
Phone Number: | 8602804008 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2016 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |