Christiansen, Beverly Blaine

Christiansen, Beverly Blaine is an sole proprietor health care provider with primary practice located at 1800 Judson Rd Suite 300, Longview TX 75605-4708. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Christiansen, Beverly Blaine can be contacted via phone (903) 242-9555.

Contact Information

Primary practice address
1800 Judson Rd Suite 300 Longview TX 75605-4708
Phone: (903) 242-9555
Fax: (903) 242-9555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11323 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2745 Texas

Profile Details

NPI number 1851407936
LBN Legal business name Christiansen, Beverly Blaine
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851407936 NPPES
Texas Other 3999LC BLUE CROSS BLUE SHIELD

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