Provider Demographics
NPI:1982424560
Name:DONALDS-ROSE, CHRISTINE (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:DONALDS-ROSE
Suffix:
Gender:
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15127 CAMEO CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-7066
Mailing Address - Country:US
Mailing Address - Phone:914-566-3333
Mailing Address - Fax:
Practice Address - Street 1:15127 CAMEO CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:FL
Practice Address - Zip Code:33470-7066
Practice Address - Country:US
Practice Address - Phone:561-566-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4436106H00000X
NY002094106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist