Provider Demographics
NPI:1518120880
Name:CHRISTIE, DONNA LIGGINS (LCSW, LMSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LIGGINS
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:LCSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 W BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-4722
Mailing Address - Country:US
Mailing Address - Phone:352-246-1451
Mailing Address - Fax:904-798-2809
Practice Address - Street 1:MALCOM RANDALL VA MEDICAL CENTER
Practice Address - Street 2:1601 S.W. ARCHER ROAD
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-6000
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical