Provider Demographics
NPI:1821711821
Name:GYGI, CHRISTOPHER TODD (MMFT, LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:GYGI
Suffix:
Gender:M
Credentials:MMFT, LMFT
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:GYGI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10847 TIDWELL RD
Mailing Address - Street 2:
Mailing Address - City:BON AQUA
Mailing Address - State:TN
Mailing Address - Zip Code:37025-1355
Mailing Address - Country:US
Mailing Address - Phone:970-406-0078
Mailing Address - Fax:
Practice Address - Street 1:1608 WILLIAMS DR STE 301
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3195
Practice Address - Country:US
Practice Address - Phone:615-653-4115
Practice Address - Fax:615-413-9995
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN106H00000X
TN1452106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty