Healthcare Provider Details

I. General information

NPI: 1811409931
Provider Name (Legal Business Name): CHRISTINA CAROL WOLFE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2017
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 AL HIGHWAY 157 STE B
CULLMAN AL
35058-0672
US

IV. Provider business mailing address

600 SUN TEMPLE DR
MADISON AL
35758-8643
US

V. Phone/Fax

Practice location:
  • Phone: 256-701-5651
  • Fax: 256-430-8400
Mailing address:
  • Phone: 256-975-4291
  • Fax: 256-325-1890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBP00944376
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4521C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: