Healthcare Provider Details

I. General information

NPI: 1346173424
Provider Name (Legal Business Name): CHRISTINA HOPE COLE CIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 N 6TH ST
MONROE LA
71201-5536
US

IV. Provider business mailing address

1002 N 6TH ST
MONROE LA
71201-5536
US

V. Phone/Fax

Practice location:
  • Phone: 318-570-2860
  • Fax: 318-737-7639
Mailing address:
  • Phone: 318-570-2860
  • Fax: 318-737-7639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number5768
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: