Provider Demographics
NPI:1992954515
Name:PRINCIPE, CHRISTINA H (LMHC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:H
Last Name:PRINCIPE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 N WICKHAM RD STE 3
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2369
Mailing Address - Country:US
Mailing Address - Phone:321-987-6198
Mailing Address - Fax:321-888-4948
Practice Address - Street 1:3040 N WICKHAM RD STE 3
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2369
Practice Address - Country:US
Practice Address - Phone:321-987-6198
Practice Address - Fax:321-888-4948
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19434101YP2500X
FLMH12580101YM0800X
MH12580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional