Healthcare Provider Details

I. General information

NPI: 1811807688
Provider Name (Legal Business Name): CHRISTOPHER DAVID AUSTIN LPC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ACADEMY RD STE 1
STARKVILLE MS
39759-4161
US

IV. Provider business mailing address

211 CHAPMAN RD
COLUMBUS MS
39705-1666
US

V. Phone/Fax

Practice location:
  • Phone: 601-775-2144
  • Fax:
Mailing address:
  • Phone: 601-201-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16135
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2144
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: