Provider Demographics
NPI:1255104139
Name:RIOS, CHRISTIE (LMHC, CCTP)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:LMHC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8842 INDIGO TRAIL LOOP
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-2300
Mailing Address - Country:US
Mailing Address - Phone:607-237-6733
Mailing Address - Fax:
Practice Address - Street 1:27551 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6950
Practice Address - Country:US
Practice Address - Phone:813-219-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health