Provider Demographics
NPI:1720255672
Name:TREADWAY, CRISTINA PAYNE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:PAYNE
Last Name:TREADWAY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17625 EL CAMINO REAL STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3075
Mailing Address - Country:US
Mailing Address - Phone:832-846-6206
Mailing Address - Fax:
Practice Address - Street 1:17625 EL CAMINO REAL STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3075
Practice Address - Country:US
Practice Address - Phone:832-846-6206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002819101YM0800X
TX63757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health