Ladd, Christina Marie

Ladd, Christina Marie is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ladd, Christina Marie can be contacted via phone (228) 863-1132.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1906 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 39002270A Indiana

Profile Details

NPI number 1053567834
LBN Legal business name Ladd, Christina Marie
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Oct 15th, 2015 - about 11 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 1053567834 NPPES
Mississippi MEDICAID 00018213

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