Provider Demographics
NPI:1639877111
Name:DAVILA, CHRISTINA AMI (M ED, LPC, LCDC-I)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:AMI
Last Name:DAVILA
Suffix:
Gender:F
Credentials:M ED, LPC, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9830 CAMINO VILLA APT 212
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5697
Mailing Address - Country:US
Mailing Address - Phone:409-779-1091
Mailing Address - Fax:
Practice Address - Street 1:9830 CAMINO VILLA APT 212
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-5697
Practice Address - Country:US
Practice Address - Phone:409-779-1091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51367101YA0400X
TX84698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)