Provider Demographics
NPI:1811635147
Name:COPELAND, CHRISTY NOEL (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:NOEL
Last Name:COPELAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111B OAK HOLLOW ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-1930
Mailing Address - Country:US
Mailing Address - Phone:903-574-3332
Mailing Address - Fax:
Practice Address - Street 1:2111B OAK HOLLOW ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-1930
Practice Address - Country:US
Practice Address - Phone:903-574-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional