Provider Demographics
NPI:1528580719
Name:HENRY, CHRISTOPHER DOYLE
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DOYLE
Last Name:HENRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 GENTILLY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3808
Mailing Address - Country:US
Mailing Address - Phone:504-948-6080
Mailing Address - Fax:
Practice Address - Street 1:4480 GEN DEGAULLE DR STE 117
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6308
Practice Address - Country:US
Practice Address - Phone:504-309-6798
Practice Address - Fax:504-407-2115
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health