Provider Demographics
NPI:1154983179
Name:POYNOR, KRISTY (LPC-S, NCSC, NCC)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:POYNOR
Suffix:
Gender:F
Credentials:LPC-S, NCSC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7533 PINE BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1234
Mailing Address - Country:US
Mailing Address - Phone:225-936-1435
Mailing Address - Fax:
Practice Address - Street 1:7533 PINE BLUFF RD
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-1234
Practice Address - Country:US
Practice Address - Phone:225-936-1435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-29
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3995101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional