Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104464296 Individual Practitioner Male Practitioner

Christopher Blake Glaze

Counselor - Professional • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Christopher Glaze is a registered healthcare professional specializing in Counselor - Professional in Lagrange, GA. Practice services are available at 122 GORDON COMMERCIAL DR STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 Gordon Commercial Dr Ste C

Lagrange, GA 302405754

Telephone 7068454045
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
56 Specialists

Practicing in Lagrange, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Marcia Davis , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1013265164

Registered Nurse

Dorothy Johnson

Clinic/Center - Mental Health (Including Community Mental Health Center)

NPI 1013562073
Dr. Minerva Villafane , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1073587895

Doctor of Medicine (M.D.)

Amanda Byrd , BSN, RN

Registered Nurse

NPI 1073982294

Bachelor of Science in Nursing, Registered Nurse

NPI 1114765534

Master of Education

Baxlee Bynum , MED, NCC

Counselor - Mental Health

NPI 1124498951

Master of Education, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2019

Registered at 122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 302405754 (Tel: 7068454045)

📍
Updated Business Mailing Address December 19, 2019

Registered at 709 S 12TH ST, LANETT, AL 368632831 (Tel: 7065902839)

👤
Provider Name / Credentials Updated December 19, 2019

Recorded as CHRISTOPHER GLAZE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2019

Counselor

🟢
Initial NPI Registration & Enumeration December 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104464296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2019
Last Update: December 19, 2019
Sole Proprietor: Yes

Mailing Address

709 S 12th St

Lanett, AL 368632831

Phone: 7065902839

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.