Provider Demographics
NPI:1922162981
Name:CHECKE, CHRISTOPHER PAUL (LMHC, CAP, NCC, MAC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:CHECKE
Suffix:
Gender:M
Credentials:LMHC, CAP, NCC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 EAST BROWARD BOULEVARD
Mailing Address - Street 2:SUITE #303
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301
Mailing Address - Country:US
Mailing Address - Phone:954-240-6323
Mailing Address - Fax:954-463-4440
Practice Address - Street 1:800 EAST BROWARD BOULEVARD
Practice Address - Street 2:SUITE #303
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301
Practice Address - Country:US
Practice Address - Phone:954-240-6323
Practice Address - Fax:954-463-4440
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8361101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL768123200Medicaid