Provider Demographics
NPI:1679315147
Name:ECKELBERRY, CHRISTI L (MA, P-LPC)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:L
Last Name:ECKELBERRY
Suffix:
Gender:F
Credentials:MA, P-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 EBENEZER BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6079
Mailing Address - Country:US
Mailing Address - Phone:601-800-6752
Mailing Address - Fax:
Practice Address - Street 1:930 EBENEZER BLVD STE D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6079
Practice Address - Country:US
Practice Address - Phone:601-340-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health