Organization Active NPI

Christi L. Lloyd, LCSW

  • Adult Mental Health Clinic/Center
  • Tyler, TX
National Provider Identifier
1073709085
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
25568 Issued in TX
Legal business name
CHRISTI L. LLOYD, LCSW
Practice address
3600 Old Bullard Rd
Suite 102E
Tyler, TX 75701-8650
Phone
(903) 535-9090
Fax
(903) 534-8644
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christi Lynn Lloyd, LCSW
Title
Owner
Phone
(903) 535-9090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 25568 TX Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 25568 TX

Addresses

Primary practice location

3600 Old Bullard Rd
Suite 102E
Tyler, TX 75701-8650

Mailing address

10447 County Road 1265
Flint, TX 75762-9134
Phone (903) 535-9090

Other identifiers 1

IdentifierTypeStateIssuer
91LJOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

3600 Old Bullard Rd
Ste 102E
Tyler, TX 75701
Phone (903) 535-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1073709085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10447 COUNTY ROAD 1265",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757629134",
            "telephone_number": "903-535-9090",
            "fax_number": "903-534-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLD BULLARD RD",
            "address_2": "SUITE 102E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018650",
            "telephone_number": "903-535-9090",
            "fax_number": "903-534-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTI L. LLOYD, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-03-11",
        "status": "A",
        "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",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "25568",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "25568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91LJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.