Smith, Christina G
Smith, Christina G is an sole proprietor health care provider with primary practice located at 6105 Denton Hwy Ste 80 , Haltom City TX 76148-3021. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Christina G can be contacted via phone (817) 654-5790.Contact Information
Primary practice address
6105 Denton Hwy Ste 80
Haltom City TX 76148-3021
Phone: (817) 654-5790
Fax: (817) 221-0588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 63048 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 63048 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 63048 | Texas |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 63048 | Texas |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 63048 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 63048 | Texas |
Profile Details
| NPI number | 1659767101 |
|---|---|
| LBN Legal business name | Smith, Christina G |
| Credentials | B.S., M.A, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2015 |
| Last updated | Mar 26th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659767101 | NPPES |
| Texas | MEDICAID | 348177202 | |
| Texas | MEDICAID | 348177201 |
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