Christides, Katie Patrick

Christides, Katie Patrick is an individual health care provider with primary practice located at 7075 Golden Oaks Loop W Ste 8 , Southaven MS 38671-9011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Christides, Katie Patrick can be contacted via phone (901) 483-1086.

Contact Information

Primary practice address
7075 Golden Oaks Loop W Ste 8 Southaven MS 38671-9011
Phone: (901) 483-1086
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5994 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X C8518 Mississippi

Profile Details

NPI number 1750798724
LBN Legal business name Christides, Katie Patrick
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2014
Last updated Jan 18th, 2022 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750798724 NPPES
Tennessee MEDICAID Q006994

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