Provider Demographics
NPI:1770471575
Name:LIRETTE, CHRISTINA MARIE (PMHNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:LIRETTE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LIRETTE
Other - Last Name:CANCIENNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:9202 HOUMA HIGHLANDS CT
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-6934
Mailing Address - Country:US
Mailing Address - Phone:985-264-9450
Mailing Address - Fax:
Practice Address - Street 1:9202 HOUMA HIGHLANDS CT
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-6934
Practice Address - Country:US
Practice Address - Phone:985-264-9450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA241566363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health