Healthcare Provider Details

I. General information

NPI: 1407766819
Provider Name (Legal Business Name): CHRISTINE EVANS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

PO BOX 45
FRISCO TX
75034-0001
US

IV. Provider business mailing address

8700 STONEBROOK PKWY UNIT 45
FRISCO TX
75034-5610
US

V. Phone/Fax

Practice location:
  • Phone: 214-708-4043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number94730
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: