Healthcare Provider Details

I. General information

NPI: 1447911086
Provider Name (Legal Business Name): CHRISTINA KLAVE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 PEGGY RD SE STE F
RIO RANCHO NM
87124-1035
US

IV. Provider business mailing address

62 COMANCHE DR
MILLINGTON TN
38053-1014
US

V. Phone/Fax

Practice location:
  • Phone: 505-892-7605
  • Fax:
Mailing address:
  • Phone: 619-519-2401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCTB-2026-0386
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: