Provider Demographics
NPI:1750194536
Name:GARNER-BRAGG, CHRISTI L (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:L
Last Name:GARNER-BRAGG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 TOWN CENTER LN STE 1103
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-2159
Mailing Address - Country:US
Mailing Address - Phone:817-618-1989
Mailing Address - Fax:
Practice Address - Street 1:201 TOWN CENTER LN STE 1103
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-2159
Practice Address - Country:US
Practice Address - Phone:817-618-1989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114083104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114083OtherLICENSE MASTER SOCIAL WORKER