| Organization Name: | CHRISTIE THERAPY CENTER, INC. |
| NPI Number: | 1003834706 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE BUILLARD CHRISTIE (OWNER) |
| Mailing Address: | 312 Guilbeau Rd Suite 4b Lafayette |
| State: | LA US |
| Postal Code: | 705066952 |
| Phone Number: | 3379819940 |
| Fax Number: | 3379812531 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 965 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |