Provider Demographics
NPI:1558346023
Name:SEAVEY, CHRISTOPHER GORDON (LMHC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GORDON
Last Name:SEAVEY
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 104TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-3229
Mailing Address - Country:US
Mailing Address - Phone:239-595-7775
Mailing Address - Fax:
Practice Address - Street 1:716 104TH AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-3229
Practice Address - Country:US
Practice Address - Phone:239-595-7775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA279101YA0400X
FLMH 3457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6414OtherBC/BS ID NUMBER