Provider Demographics
NPI:1023313699
Name:REEVES, CHRISTIA LEA (LMLP-T)
Entity type:Individual
Prefix:MS
First Name:CHRISTIA
Middle Name:LEA
Last Name:REEVES
Suffix:
Gender:F
Credentials:LMLP-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 SW BURLINGAME RD APT A202
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2066
Mailing Address - Country:US
Mailing Address - Phone:303-913-8995
Mailing Address - Fax:
Practice Address - Street 1:4101 SW MARTIN DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66609-1217
Practice Address - Country:US
Practice Address - Phone:785-783-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1355103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical