Healthcare Provider Details

I. General information

NPI: 1538024930
Provider Name (Legal Business Name): CHRISTIAN MIGUEL DE JESUS LGAT, ATR-P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 CONNECTICUT AVE NW STE 300
WASHINGTON DC
20008-1162
US

IV. Provider business mailing address

800 S WASHINGTON ST APT A108
ALEXANDRIA VA
22314-4237
US

V. Phone/Fax

Practice location:
  • Phone: 202-624-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGAT2000008
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: