Provider Demographics
NPI:1154839751
Name:GOFF, CHRISTINA LYNN (LPC-S)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LYNN
Last Name:GOFF
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 RIVER POINT RD
Mailing Address - Street 2:
Mailing Address - City:SPUR
Mailing Address - State:TX
Mailing Address - Zip Code:79370-5729
Mailing Address - Country:US
Mailing Address - Phone:214-543-8917
Mailing Address - Fax:806-771-8809
Practice Address - Street 1:135 RIVER POINT RD
Practice Address - Street 2:
Practice Address - City:SPUR
Practice Address - State:TX
Practice Address - Zip Code:79370-5729
Practice Address - Country:US
Practice Address - Phone:214-543-8917
Practice Address - Fax:806-771-8809
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX$$$$$$$$$OtherLPC-S