Provider Demographics
NPI:1881887412
Name:GIETZ, CHRISTINA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:GIETZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:DE LA ROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7300 HART LANE
Mailing Address - Street 2:1
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2407
Mailing Address - Country:US
Mailing Address - Phone:512-250-1043
Mailing Address - Fax:512-257-7179
Practice Address - Street 1:11940 JOLLYVILLE ROAD
Practice Address - Street 2:110 S
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2327
Practice Address - Country:US
Practice Address - Phone:512-250-1043
Practice Address - Fax:512-257-7176
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX91678101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health