Provider Demographics
NPI:1447918826
Name:HENRY, CHRISTIAN ANTIARA (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:ANTIARA
Last Name:HENRY
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 COLLIN MCKINNEY PKWY
Mailing Address - Street 2:STE 500 #246
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1886
Mailing Address - Country:US
Mailing Address - Phone:903-246-1742
Mailing Address - Fax:
Practice Address - Street 1:4817 MEDICAL CENTER DR # 3A
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1886
Practice Address - Country:US
Practice Address - Phone:972-607-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health