Provider Demographics
NPI:1164078747
Name:SAUNDERS, CRISTY HOUK (LPCA)
Entity Type:Individual
Prefix:
First Name:CRISTY
Middle Name:HOUK
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5983 CHRISTOPHER RD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-6728
Mailing Address - Country:US
Mailing Address - Phone:980-201-1817
Mailing Address - Fax:
Practice Address - Street 1:172 OAK ST STE C
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1586
Practice Address - Country:US
Practice Address - Phone:704-466-0162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-10
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14842101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional