Provider Demographics
NPI:1669840039
Name:COMINOS, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:COMINOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44354 HWY 445
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROBERT
Mailing Address - State:LA
Mailing Address - Zip Code:70455
Mailing Address - Country:US
Mailing Address - Phone:985-542-2466
Mailing Address - Fax:985-542-2755
Practice Address - Street 1:44354 HIGHWAY 445
Practice Address - Street 2:SUITE D
Practice Address - City:ROBERT
Practice Address - State:LA
Practice Address - Zip Code:70455-1999
Practice Address - Country:US
Practice Address - Phone:985-542-2466
Practice Address - Fax:985-542-2755
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical