Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christina Brock

Individual provider Mental Health Counselor · NPI 1316603418

Christina Brock is a Mental Health Counselor in Perry, Florida. Qualified in 2020, 6 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021

Practice location Address checks out

555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone: (850) 329-5776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5530 Northrop Rd, Milton, FL 32570-8701 — (910) 742-9243

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 22716 (FL)

Record details

NPI number1316603418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 12, 2021
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing addressPo Box 1726, Perry, FL 32348-7305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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