Healthcare Provider Details

I. General information

NPI: 1699826081
Provider Name (Legal Business Name): CHRISTINE A LAURENT RN MSN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 CLAIRMONT RD
DECATUR GA
30033-4004
US

IV. Provider business mailing address

701 HILLMONT DR
LOGANVILLE GA
30052-8939
US

V. Phone/Fax

Practice location:
  • Phone: 404-321-4111
  • Fax:
Mailing address:
  • Phone: 404-317-8067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN141304
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: