Healthcare Provider Details

I. General information

NPI: 1982537288
Provider Name (Legal Business Name): CHRISTINE LYNN ROCKETT CIT-5969
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 S FOSTER DR
BATON ROUGE LA
70806-4103
US

IV. Provider business mailing address

9566 SYBLE DR
BATON ROUGE LA
70814-4080
US

V. Phone/Fax

Practice location:
  • Phone: 225-389-3325
  • Fax: 225-408-8096
Mailing address:
  • Phone: 225-389-3325
  • Fax: 225-408-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCIT-5969
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: