Provider Demographics
NPI:1568717726
Name:HOLT, CHRISTINA E (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:E
Last Name:HOLT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 RIVERPARK CT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3708
Mailing Address - Country:US
Mailing Address - Phone:813-541-5260
Mailing Address - Fax:
Practice Address - Street 1:112 RIVERPARK CT
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3708
Practice Address - Country:US
Practice Address - Phone:813-541-5260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH8786101YM0800X
FLMH11657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health