Provider Demographics
NPI:1972051498
Name:HORNBUCKLE, SUZANNE REDMOND (LPC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:REDMOND
Last Name:HORNBUCKLE
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 1:5630 SYCAMORE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1451
Mailing Address - Country:US
Mailing Address - Phone:281-701-8412
Mailing Address - Fax:
Practice Address - Street 1:2017 N FRAZIER ST
Practice Address - Street 2:F-1
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1233
Practice Address - Country:US
Practice Address - Phone:713-878-8500
Practice Address - Fax:936-549-2100
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional