Provider Demographics
NPI:1144947730
Name:ANGLIN, CHRISTEN (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:ANGLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 HOSEA L WILLIAMS DR NE UNIT 170425
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30317-2280
Mailing Address - Country:US
Mailing Address - Phone:678-876-4509
Mailing Address - Fax:
Practice Address - Street 1:3312 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-4274
Practice Address - Country:US
Practice Address - Phone:678-876-4509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012932101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional