Healthcare Provider Details

I. General information

NPI: 1992111066
Provider Name (Legal Business Name): CHRISTINA ANN LABOND MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 08/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MORGANTON BLVD SW
LENOIR NC
28645-9691
US

IV. Provider business mailing address

2415 MORGANTON BLVD SW
LENOIR NC
28645-9691
US

V. Phone/Fax

Practice location:
  • Phone: 828-394-5563
  • Fax: 828-394-5418
Mailing address:
  • Phone: 828-394-5563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801097058
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011375
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: