Provider Demographics
NPI:1639913908
Name:HARI, CHRISTY A (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:A
Last Name:HARI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:A
Other - Last Name:BORIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:500 W THOMAS RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013
Mailing Address - Country:US
Mailing Address - Phone:602-406-5278
Mailing Address - Fax:602-294-5683
Practice Address - Street 1:500 W THOMAS RD
Practice Address - Street 2:SUITE 230
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013
Practice Address - Country:US
Practice Address - Phone:602-406-5278
Practice Address - Fax:602-294-5683
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-11036104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker