Provider Demographics
NPI:1497369292
Name:CHRISTINA TRIANTAFILLOU, LPC, LLC
Entity type:Organization
Organization Name:CHRISTINA TRIANTAFILLOU, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIANTAFILLOU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:757-346-9755
Mailing Address - Street 1:PO BOX 6355
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-0355
Mailing Address - Country:US
Mailing Address - Phone:757-346-9755
Mailing Address - Fax:
Practice Address - Street 1:336 SAINT THOMAS DR APT H
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4307
Practice Address - Country:US
Practice Address - Phone:757-346-9755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty