Provider Demographics
NPI:1548522618
Name:SHERRY MALCOMB GILL @ ASSOCIATES
Entity type:Organization
Organization Name:SHERRY MALCOMB GILL @ ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:MALCOMB
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC, MA
Authorized Official - Phone:281-491-4455
Mailing Address - Street 1:14100 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3466
Mailing Address - Country:US
Mailing Address - Phone:281-491-4455
Mailing Address - Fax:281-491-3565
Practice Address - Street 1:14100 SOUTHWEST FWY
Practice Address - Street 2:SUITE 240
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3466
Practice Address - Country:US
Practice Address - Phone:281-491-4455
Practice Address - Fax:281-491-3565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty