Provider Demographics
NPI:1114651908
Name:ALI, ANUMBANO (LPC)
Entity Type:Individual
Prefix:
First Name:ANUMBANO
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANUM
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:5560 FM 1640 RD UNIT 1581
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-6077
Mailing Address - Country:US
Mailing Address - Phone:713-518-5169
Mailing Address - Fax:
Practice Address - Street 1:5560 FM 1640 RD UNIT 1581
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6077
Practice Address - Country:US
Practice Address - Phone:713-518-5169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health