MRS. CHRISTINA MARIE HAVARD


Address: 500 Cobblestone Ct, Suite B, Madison, MS 39110-7790
Phone: 6019624015

MRS. CHRISTINA MARIE HAVARD (NPI# 1720352289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720352289
Entity Type Individual
Full Name MRS. CHRISTINA MARIE HAVARD
Credential L.P.C.
Practice Address 500 Cobblestone Ct
Suite B
Madison
MS 39110-7790
Practice Telephone 6019624015
Mailing Telephone 6019551987
Enumeration Date 2012-03-01
Last Update Date 2017-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
2608 MS Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
1711 MS Behavioral Health & Social Service Providers

Office Location

Street Address 500 COBBLESTONE CT
SUITE B
City MADISON
State MS
Zip Code 39110-7790

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1467960484 Brick City Drugs, LLC Durable Medical Equipment & Medical Supplies 159 Fountains Blvd, Madison, MS 39110 2018-01-11
1093227589 Hannah Monk Hawthorne Counselor 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 2017-10-25
1548786650 Kimberly Allen Pharmacist 1100 Us- 51, Madison, MS 39110 2017-08-21
1891218186 Delta Elizabeth Stark Chiropractor 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 2017-07-19
1861914848 Laura Hartlein Dietitian, Registered 200 Park Circle Dr. #2, Flowood, MS 39110 2017-07-12
1831620608 Ona Irby Occupational Therapist 105 Munich Dr, Madison, MS 39110 2017-03-23
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1619589538 Pamela Peoples Counselor 1888 Main St Ste C-189, Madison, MS 39110-6337 2020-08-21
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1134740210 Amy C Nicholson Counselor 720 Hill St Ste 230, Madison, WI 53705-3539 2020-04-30
1902435308 Jeffrey Joseph Bopp Counselor 518 Diving Hawk Trl, Madison, WI 53713-3380 2020-04-07
1881222313 Christopher Gabriel Krell Counselor 133 Se Macon St, Madison, FL 32340-2986 2020-03-30
1174153381 Kristine Fernerud Counselor 77 Legend Hill Rd, Madison, CT 06443-1877 2020-01-16
1568008886 Avery Reven Kansteiner Counselor 105 Ski Court, Madison, WI 53713 2019-11-21
1124661996 Lillian A Carroll Counselor 502 Pflaum Rd, Madison, WI 53716-2163 2019-10-23
1700436466 David R. Gosling Counselor 702 South High Point Road #209, Madison, WI 53719 2019-09-16
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Competitor

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City MADISON
Zip Code 39110

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Dataset Information

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.

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