Provider Demographics
NPI:1255870440
Name:GLORI SOMMERER
Entity Type:Organization
Organization Name:GLORI SOMMERER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:GLORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMMERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-768-1771
Mailing Address - Street 1:6800 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-5776
Mailing Address - Country:US
Mailing Address - Phone:254-768-1771
Mailing Address - Fax:
Practice Address - Street 1:100 S CENTRAL TEXAS EXPRESSWAY
Practice Address - Street 2:# 208
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76542
Practice Address - Country:US
Practice Address - Phone:254-768-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty