Provider Demographics
NPI:1831341635
Name:MEHAL, CHRISTINA S (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:S
Last Name:MEHAL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 LUCY ST
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-4429
Mailing Address - Country:US
Mailing Address - Phone:337-842-5680
Mailing Address - Fax:
Practice Address - Street 1:415 N CUTTING AVE
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-5963
Practice Address - Country:US
Practice Address - Phone:337-824-4200
Practice Address - Fax:337-824-4201
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3767251S00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251S00000XAgenciesCommunity/Behavioral Health