Provider Demographics
NPI:1174248173
Name:THOMPSON-COMBS, SUNI SHERRIE
Entity type:Individual
Prefix:
First Name:SUNI
Middle Name:SHERRIE
Last Name:THOMPSON-COMBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12303
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-2303
Mailing Address - Country:US
Mailing Address - Phone:281-203-9825
Mailing Address - Fax:
Practice Address - Street 1:1514 KENNOWAY PARK DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7210
Practice Address - Country:US
Practice Address - Phone:281-203-9825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76246101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123456789OtherI DO NOT HAVE AN ISSUER