Provider Demographics
NPI:1821357724
Name:RAGLAND, CRISTY WATSON (LPCS, LMFT)
Entity Type:Individual
Prefix:
First Name:CRISTY
Middle Name:WATSON
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:LPCS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 CENTRAL COMMERCE DR STE 506
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2046
Mailing Address - Country:US
Mailing Address - Phone:512-659-2161
Mailing Address - Fax:866-504-4882
Practice Address - Street 1:15901 CENTRAL COMMERCE DR STE 506
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2046
Practice Address - Country:US
Practice Address - Phone:512-659-2161
Practice Address - Fax:866-504-4882
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19357101YP2500X
TX200924106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional