Provider Demographics
NPI:1861930232
Name:CHRISTMAS, SHAWNICE (LPC)
Entity type:Individual
Prefix:
First Name:SHAWNICE
Middle Name:
Last Name:CHRISTMAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 GENERAL MOUTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-8511
Mailing Address - Country:US
Mailing Address - Phone:337-232-9457
Mailing Address - Fax:
Practice Address - Street 1:917 GENERAL MOUTON AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-8511
Practice Address - Country:US
Practice Address - Phone:337-232-9457
Practice Address - Fax:337-232-9459
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 171M00000X
LA6935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional