1073709085 NPI number — CHRISTI L. LLOYD, LCSW

Table of content: (NPI 1073709085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073709085 NPI number — CHRISTI L. LLOYD, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTI L. LLOYD, LCSW
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073709085
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10447 COUNTY ROAD 1265
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLINT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75762-9134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-535-9090
Provider Business Mailing Address Fax Number:
903-534-8644

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3600 OLD BULLARD RD
Provider Second Line Business Practice Location Address:
SUITE 102E
Provider Business Practice Location Address City Name:
TYLER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75701-8650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-535-9090
Provider Business Practice Location Address Fax Number:
903-534-8644
Provider Enumeration Date:
09/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LLOYD
Authorized Official First Name:
CHRISTI
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
903-535-9090

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  25568 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0855X , with the licence number: 25568 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 91LJ . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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