Provider Demographics
NPI:1134190572
Name:CHRISTOPHE, VIRGINIA W (LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:W
Last Name:CHRISTOPHE
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 PIERREMONT RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-2069
Mailing Address - Country:US
Mailing Address - Phone:318-861-8414
Mailing Address - Fax:318-861-8415
Practice Address - Street 1:910 PIERREMONT RD
Practice Address - Street 2:SUITE 410
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-2069
Practice Address - Country:US
Practice Address - Phone:318-861-8414
Practice Address - Fax:318-861-8415
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1671101YP2500X
TX9081101YP2500X
LA257106H00000X
TX754106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA154639OtherWPS/TRICARE
LA7552113OtherAETNA
LA152989OtherCIGNA
LAA830803OtherVALUE OPTIONS
LA2157EOtherBLUE CROSS BLUE SHIELD