Christy, Teresina M S
Christy, Teresina M S is an sole proprietor health care provider with primary practice located at 10555 Main St Suite 230, Fairfax VA 22030-3306. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Christy, Teresina M S can be contacted via phone (703) 352-8533.Contact Information
Primary practice address
10555 Main St Suite 230
Fairfax VA 22030-3306
Phone: (703) 352-8533
Fax: (703) 237-6780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701001836 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000488 | Virginia |
Profile Details
| NPI number | 1710076161 |
|---|---|
| LBN Legal business name | Christy, Teresina M S |
| Credentials | LPC LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 25th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710076161 | NPPES |
| Virginia | Other | 091585 | ANTHEM BCBS |
| Virginia | Other | 00250001 | ANTHEM BCBS |
| Virginia | Other | 217463 | ANTHEM BCBS |
| Virginia | Other | 18166 | ANTHEM BCBS |
| Virginia | Other | 5782081 | ANTHEM BCBS |
| Virginia | Other | 323251 | ANTHEM BCBS |
| Virginia | Other | 006360 | ANTHEM BCBS |
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