Healthcare Provider Details

I. General information

NPI: 1497668370
Provider Name (Legal Business Name): CHRISTINA ALLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 N POINTE BLVD STE C
MOUNT AIRY NC
27030-2267
US

IV. Provider business mailing address

502 SUMMIT ST
WALNUT COVE NC
27052-9351
US

V. Phone/Fax

Practice location:
  • Phone: 336-948-6333
  • Fax:
Mailing address:
  • Phone: 336-575-3138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024387
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: