Provider Demographics
NPI:1457932196
Name:EMERSON, CHRISTY SCAFIDEL (LCMHT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:SCAFIDEL
Last Name:EMERSON
Suffix:
Gender:F
Credentials:LCMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COURT CV
Mailing Address - Street 2:
Mailing Address - City:PELAHATCHIE
Mailing Address - State:MS
Mailing Address - Zip Code:39145-4084
Mailing Address - Country:US
Mailing Address - Phone:601-824-2545
Mailing Address - Fax:601-591-4788
Practice Address - Street 1:100 COURT CV
Practice Address - Street 2:
Practice Address - City:PELAHATCHIE
Practice Address - State:MS
Practice Address - Zip Code:39145-4084
Practice Address - Country:US
Practice Address - Phone:601-824-2545
Practice Address - Fax:601-591-4788
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health