Provider Demographics
NPI:1760270367
Name:CHRISTINA B TIPTON LLC
Entity type:Organization
Organization Name:CHRISTINA B TIPTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:BURNETTE
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-661-9660
Mailing Address - Street 1:2321 SIR BARTON WAY
Mailing Address - Street 2:SUITE 140 #1038
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2437
Mailing Address - Country:US
Mailing Address - Phone:859-661-9660
Mailing Address - Fax:
Practice Address - Street 1:935 W 2100 N
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:UT
Practice Address - Zip Code:84404-6500
Practice Address - Country:US
Practice Address - Phone:859-661-9660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty