Provider Demographics
NPI:1841760444
Name:GILMORE, CHRISTINE (CAC, CCS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:GILMORE
Suffix:
Gender:F
Credentials:CAC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 ROBBIE ST
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-2506
Mailing Address - Country:US
Mailing Address - Phone:225-394-9987
Mailing Address - Fax:
Practice Address - Street 1:927 ROBBIE ST
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-2506
Practice Address - Country:US
Practice Address - Phone:225-394-9987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1612101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)