Provider Demographics
NPI:1073709085
Name:CHRISTI L. LLOYD, LCSW
Entity Type:Organization
Organization Name:CHRISTI L. LLOYD, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-535-9090
Mailing Address - Street 1:10447 COUNTY ROAD 1265
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-9134
Mailing Address - Country:US
Mailing Address - Phone:903-535-9090
Mailing Address - Fax:903-534-8644
Practice Address - Street 1:3600 OLD BULLARD RD
Practice Address - Street 2:SUITE 102E
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8650
Practice Address - Country:US
Practice Address - Phone:903-535-9090
Practice Address - Fax:903-534-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25568261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX91LJOtherBCBS
TX00053XMedicare PIN