Provider Demographics
NPI:1396375051
Name:AUTHEMENT, CHRISTIN (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:AUTHEMENT
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HILL CT APT 35
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-3917
Mailing Address - Country:US
Mailing Address - Phone:985-713-8325
Mailing Address - Fax:
Practice Address - Street 1:8326 KELWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303
Practice Address - Country:US
Practice Address - Phone:985-713-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker