Provider Demographics
NPI:1659644656
Name:CHRISTOPHER SEAVEY, LMHC, PA
Entity Type:Organization
Organization Name:CHRISTOPHER SEAVEY, LMHC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:SEAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-595-7775
Mailing Address - Street 1:9853 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 213
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1909
Mailing Address - Country:US
Mailing Address - Phone:239-595-7775
Mailing Address - Fax:239-566-3534
Practice Address - Street 1:9853 TAMIAMI TRL N
Practice Address - Street 2:SUITE 213
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1909
Practice Address - Country:US
Practice Address - Phone:239-595-7775
Practice Address - Fax:239-566-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3547251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health