Healthcare Provider Details

I. General information

NPI: 1578480976
Provider Name (Legal Business Name): CHRISTINA SUGGS LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 WINDMERE DR
MONROE NC
28110-8426
US

IV. Provider business mailing address

1013 LOUDOUN RD
INDIAN TRAIL NC
28079-8478
US

V. Phone/Fax

Practice location:
  • Phone: 704-708-4605
  • Fax:
Mailing address:
  • Phone: 978-408-8006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023829
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: