Provider Demographics
NPI:1952925042
Name:ROY, CHRISTINA M (LPC, LCDC-I)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:ROY
Suffix:
Gender:F
Credentials:LPC, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 PARK VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1846
Mailing Address - Country:US
Mailing Address - Phone:972-998-7777
Mailing Address - Fax:
Practice Address - Street 1:2608 PARK VALLEY DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1846
Practice Address - Country:US
Practice Address - Phone:972-998-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health