CHRISTOPHER BLAKE GLAZE
NPI 1104464296
Counselor - Professional in Lagrange, GA

Active since December 19, 2019
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240(706) 845-4045 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christopher Blake Glaze NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER BLAKE GLAZE (NPI 1104464296) is an individual professional provider in Lagrange, Georgia and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1104464296
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTOPHER BLAKE GLAZE
Location Address122 GORDON COMMERCIAL DR STE CLagrange, GA 30240-5754
Mailing Address709 S 12th StLanett, AL 36863-2831 · (706) 590-2839
Sole ProprietorYes
Enumeration DateDecember 19, 2019
NPI 1104464296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
122 GORDON COMMERCIAL DR STE C, Lagrange, GA 30240

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
122 GORDON COMMERCIAL DR STE C, PATHWAYS
LAGRANGE, GA 30240
Counselor (Professional)
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240
Clinic/Center (Mental Health (Including Community Mental Health Center))
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240
Licensed Practical Nurse
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240
Behavior Technician
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240
Licensed Practical Nurse
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240
Registered Nurse
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240
Social Worker
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Glaze's NPI number?

The NPI number for Christopher Glaze is 1104464296. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is Christopher Glaze located?

Christopher Glaze practices at 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240. The listed phone number is (706) 845-4045.

What is Christopher Glaze's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Christopher Glaze was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.