Provider Demographics
NPI:1811698632
Name:MAXWELL, CHRISTINA (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17214 SADDLEHORN
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-4726
Mailing Address - Country:US
Mailing Address - Phone:281-785-7738
Mailing Address - Fax:
Practice Address - Street 1:1306 KINGWOOD DR STE I
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3150
Practice Address - Country:US
Practice Address - Phone:281-973-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90959101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor