Provider Demographics
NPI:1710446414
Name:CHRISTI, COUNSELING & CONSULTATION
Entity Type:Organization
Organization Name:CHRISTI, COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTION/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:M
Authorized Official - Last Name:HASSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-MHSP
Authorized Official - Phone:931-575-8544
Mailing Address - Street 1:461 SULLIVAN KNOWLES RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-2495
Mailing Address - Country:US
Mailing Address - Phone:931-575-8544
Mailing Address - Fax:
Practice Address - Street 1:461 SULLIVAN KNOWLES RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-2495
Practice Address - Country:US
Practice Address - Phone:931-575-8544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ055863Medicaid