1063962033 NPI number — MRS. CHRISTINA GREENWELL BUCKNER MS, LPC-MHSP

Table of content: MRS. CHRISTINA GREENWELL BUCKNER MS, LPC-MHSP (NPI 1063962033)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063962033 NPI number — MRS. CHRISTINA GREENWELL BUCKNER MS, LPC-MHSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCKNER
Provider First Name:
CHRISTINA
Provider Middle Name:
GREENWELL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC-MHSP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUCKNER
Provider Other First Name:
CHRISTY
Provider Other Middle Name:
GREENWELL
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1063962033
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 HOLIDAY CT
Provider Second Line Business Mailing Address:
D6
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37067-3000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-415-8884
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 HOLIDAY CT
Provider Second Line Business Practice Location Address:
D6
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-415-8884
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LPC0000003564 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com