Provider Demographics
NPI:1447077318
Name:BARRERA, CHRISTY ISOM (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ISOM
Last Name:BARRERA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:ANNETTE
Other - Last Name:ISOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15562 MARBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-0066
Mailing Address - Country:US
Mailing Address - Phone:512-293-5079
Mailing Address - Fax:
Practice Address - Street 1:5757 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1514
Practice Address - Country:US
Practice Address - Phone:713-324-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1143971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty