Provider Demographics
NPI:1134512999
Name:SAMMONS, TONI LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:LYNN
Last Name:SAMMONS
Suffix:
Gender:F
Credentials:LPC
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 875
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79831-0875
Mailing Address - Country:US
Mailing Address - Phone:432-538-7088
Mailing Address - Fax:432-538-7080
Practice Address - Street 1:102 E AVENUE E
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-4700
Practice Address - Country:US
Practice Address - Phone:432-538-7088
Practice Address - Fax:432-538-7080
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional