Organization
BONNIE LEE BRAGLIA LPC-S,LMFT,CCDVC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE LEE BRAGLIA BSN,LPC-S,LMFT,CCDVC (PSYCHOTHERAPIST,SUPERVISOR LPC TX,)
(361) 774-0293
Entity
Organization
Contact information
Practice address
4659 EVERHART RD. SUITE 109, CORPUS CHRISTI, TX 78411
(361) 774-0293
(361) 452-0029
Mailing address
3434 ALAMEDA ST., CORPUS CHRISTI, TX 78411
(361) 774-0293
(361) 452-0029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YP2500X
LICENSED PROFESSIONAL COUNSELOR-SUPERVISOR-STATE OF TEXAS
TX
01
—
103TF0200X
CLINICALLY CERTIFIED DOMESTIC VIOLENCE COUNSELOR, F17949
TX
01
—
106HOOOOOX
MARRIAGE & FAMILY THERAPIST
TX
01
—
F17949
FORENSIC COUNSELOR CLINICALLY CERTIFIED DOMESTIC VIOLENCE COUNSELOR
TX
Enumeration date
05/07/2015
Last updated
05/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up