Provider Demographics
NPI:1386782852
Name:SMITH, CRISTI HENK (LPC)
Entity type:Individual
Prefix:
First Name:CRISTI
Middle Name:HENK
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CRISTI
Other - Middle Name:
Other - Last Name:HENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3109 W SLAUGHTER LN STE C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5712
Mailing Address - Country:US
Mailing Address - Phone:512-517-8168
Mailing Address - Fax:
Practice Address - Street 1:3109 W SLAUGHTER LN STE C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5712
Practice Address - Country:US
Practice Address - Phone:512-517-8168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional