Provider Demographics
NPI:1558660902
Name:CHRISTINE F. GILCHRIST LCSW, PC
Entity Type:Organization
Organization Name:CHRISTINE F. GILCHRIST LCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:FALKNER
Authorized Official - Last Name:GILCHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-483-5111
Mailing Address - Street 1:3802 POPLAR HILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5531
Mailing Address - Country:US
Mailing Address - Phone:757-483-5111
Mailing Address - Fax:757-686-4845
Practice Address - Street 1:3802 POPLAR HILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5531
Practice Address - Country:US
Practice Address - Phone:757-483-5111
Practice Address - Fax:757-686-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904001519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA800002215OtherMEDICARE PROVIDER NUMBER