MEDICARE: MISS CHRISTIE NECHOLE GOVAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1174865505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHRISTIE NECHOLE GOVAN

Provider Business Mailing Address
First Line	:	3300 LAKEVIEW BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-7400
Country	:	US
Telephone Number	:	469-671-1658
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 LAKEVIEW BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-7400
Country	:	US
Telephone Number	:	469-671-1658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2013
Last Update Date	:	01/17/2026

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Directions to “ MISS CHRISTIE NECHOLE GOVAN ” Practice Location

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