Provider Demographics
NPI:1245923192
Name:CHRISTIE STIFF LMFT
Entity type:Organization
Organization Name:CHRISTIE STIFF LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STIFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:757-870-4546
Mailing Address - Street 1:2901 CENTRAL ST STE 6
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1288
Mailing Address - Country:US
Mailing Address - Phone:757-870-4546
Mailing Address - Fax:
Practice Address - Street 1:97 NEWELL ST APT 1L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3329
Practice Address - Country:US
Practice Address - Phone:757-870-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty