CHRISTIE THERAPY CENTER, INC. (NPI# 1003834706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003834706 |
Entity Type | Organization |
Organization Name | CHRISTIE THERAPY CENTER, INC. |
Practice Address |
312 Guilbeau Rd Suite 4b Lafayette LA 70506-6952 |
Practice Telephone | 3379819940 |
Practice Fax Number | 3379812531 |
Mailing Telephone | 3379819940 |
Mailing Fax Number | 3379812531 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MICHELLE BUILLARD CHRISTIE (OWNER) |
Authorized Official Telephone | 3379819940 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103TC0700X |
Psychologist Specialization: Clinical |
965 | LA | Behavioral Health & Social Service Providers |
X | 225100000X | Physical Therapist | 03172 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 225X00000X | Occupational Therapist | OTT.Z10814 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 235Z00000X | Speech-Language Pathologist | 4559 | LA | Speech, Language and Hearing Service Providers |
Street Address |
312 GUILBEAU RD SUITE 4B |
City | LAFAYETTE |
State | LA |
Zip Code | 70506-6952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730333451 | Joann Guillory | Speech-Language Pathologist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2008-11-07 |
1942450382 | Mary M Hebert | Physical Therapist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2008-09-23 |
1043474414 | Lindsey Hook Lane | Speech-Language Pathologist | 312 Guilbeau Rd, Suite 4d, Lafayette, LA 70506-6952 | 2008-07-15 |
1295917169 | Cally Lege | Speech-Language Pathologist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2007-12-03 |
1780880955 | Jennifer Macha | Speech-Language Pathologist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2007-06-25 |
1316142284 | Alyce T Benoit | Speech-Language Pathologist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2007-06-19 |
1568667954 | Christie Learning Center | Speech-Language Pathologist | 312 Guilbeau Rd, Suite 4d, Lafayette, LA 70506-6952 | 2007-06-18 |
1962533406 | Michelle B Christie | Physical Therapist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
Find all providers in zip 70506 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1023468154 | Marilyn Steele | Psychologist | 965 Moraga Rd, Lafayette, CA 94549-4422 | 2016-06-20 |
1396012183 | Jesus Sanchez | Psychologist | 150 Old Laramie Trl Unit 120, Lafayette, CO 80026 | 2011-11-21 |
1992025720 | Amy E Cavanaugh Phd LLC | Psychologist | 4540 Ambassador Caffery Pkwy Ste C200, Lafayette, LA 70508-6930 | 2010-06-03 |
1972734242 | Bianchini-strother/boudreaux, LLC | Psychologist | 107 Regency Sq, Lafayette, LA 70508-4221 | 2009-08-04 |
1649423195 | Andrew Michaels | Psychologist | 3184 Old Tunnel Rd Ste A, Lafayette, CA 94549-4153 | 2008-10-28 |
1306023130 | Sonja Hellman | Psychologist | 1373 Forest Park Cir Ste 204, Lafayette, CO 80026-3193 | 2008-01-23 |
1174744239 | Suzanne Moselle Allen | Psychologist | 3249 Mt. Diablo Blvd., Suite 210, Lafayette, CA 94549 | 2007-05-02 |
1336360734 | Dai To | Psychologist | 3468 Mt Diablo Blvd Ste 201, Lafayette, CA 94549-3957 | 2007-05-01 |
Find all providers in LAFAYETTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.