Provider Demographics
NPI:1831337583
Name:JOHNSTON, CHRISTINA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:2813 OXFORD LN
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1504
Mailing Address - Country:US
Mailing Address - Phone:817-600-7611
Mailing Address - Fax:
Practice Address - Street 1:1109 CHEEK SPARGER RD
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-4199
Practice Address - Country:US
Practice Address - Phone:817-337-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62606101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist