Provider Demographics
NPI:1225361405
Name:LUNDBY, CHRISTI GAIL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:GAIL
Last Name:LUNDBY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 FORD ST
Mailing Address - Street 2:
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643-2611
Mailing Address - Country:US
Mailing Address - Phone:325-247-4477
Mailing Address - Fax:325-247-5939
Practice Address - Street 1:1203 FORD ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-2611
Practice Address - Country:US
Practice Address - Phone:325-247-4477
Practice Address - Fax:325-247-5939
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX214696104Medicaid