Provider Demographics
NPI:1760988083
Name:LAWDERMILK, CHRISTI (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:
Last Name:LAWDERMILK
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 LITTLECHASE ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7719
Mailing Address - Country:US
Mailing Address - Phone:409-673-0818
Mailing Address - Fax:
Practice Address - Street 1:4347 PHELAN BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2159
Practice Address - Country:US
Practice Address - Phone:409-673-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health