1134354947 NPI number — MRS. CHRISTINA MIKESELL PLATANIA LPC

Table of content: MRS. CHRISTINA MIKESELL PLATANIA LPC (NPI 1134354947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134354947 NPI number — MRS. CHRISTINA MIKESELL PLATANIA LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PLATANIA
Provider First Name:
CHRISTINA
Provider Middle Name:
MIKESELL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PLATANIA
Provider Other First Name:
CHRIS
Provider Other Middle Name:
MIKESELL
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1134354947
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1007 E HIGH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTESVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22902-4841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-872-0047
Provider Business Mailing Address Fax Number:
434-872-0049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1007 E HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22902-4841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-872-0047
Provider Business Practice Location Address Fax Number:
434-872-0049
Provider Enumeration Date:
05/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701004559 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0701004559 . This is a "BOARD OF COUNSELING" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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