Provider Demographics
NPI:1518289735
Name:TAYLOR, CHRISTINE JOHANNA (LPC-S)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JOHANNA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 731
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016
Mailing Address - Country:US
Mailing Address - Phone:210-909-9909
Mailing Address - Fax:
Practice Address - Street 1:19971 FM 3175 NORTH
Practice Address - Street 2:
Practice Address - City:LYTLE
Practice Address - State:TX
Practice Address - Zip Code:78052
Practice Address - Country:US
Practice Address - Phone:830-276-1361
Practice Address - Fax:210-257-0456
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64072101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional