Provider Demographics
NPI:1346562287
Name:CHRISTOPHER E DOCKINS
Entity Type:Organization
Organization Name:CHRISTOPHER E DOCKINS
Other - Org Name:HEARTLIFE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOCKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-641-6697
Mailing Address - Street 1:6021 MORRISS RD STE 113
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3764
Mailing Address - Country:US
Mailing Address - Phone:214-641-6697
Mailing Address - Fax:972-874-0523
Practice Address - Street 1:6021 MORRISS RD STE 113
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3764
Practice Address - Country:US
Practice Address - Phone:214-641-6697
Practice Address - Fax:972-874-0523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63308101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1215121181OtherINDIVIDUAL NPI