Healthcare Provider Details

I. General information

NPI: 1922430263
Provider Name (Legal Business Name): CHRISTINA ALYCE RUNNELS MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 EASTLOCH DR STE 235
SPRING TX
77379-2341
US

IV. Provider business mailing address

PO BOX 840237
HOUSTON TX
77284-0237
US

V. Phone/Fax

Practice location:
  • Phone: 832-914-9566
  • Fax: 832-717-9605
Mailing address:
  • Phone: 832-914-9566
  • Fax: 832-717-9605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number68799
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: