Provider Demographics
NPI:1720206444
Name:PLEASANT, CHRISTY OBY (BA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:OBY
Last Name:PLEASANT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13325 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5802
Mailing Address - Country:US
Mailing Address - Phone:310-676-8030
Mailing Address - Fax:310-676-8113
Practice Address - Street 1:13325 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5802
Practice Address - Country:US
Practice Address - Phone:310-676-8030
Practice Address - Fax:310-676-8113
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)