Provider Demographics
NPI:1013708452
Name:NUNN, THOMAS CALVIN III (MA)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:CALVIN
Last Name:NUNN
Suffix:III
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 LOCKHILL SELMA RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1410
Mailing Address - Country:US
Mailing Address - Phone:210-842-6953
Mailing Address - Fax:
Practice Address - Street 1:2121 LOCKHILL SELMA RD
Practice Address - Street 2:
Practice Address - City:CASTLE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78213-1410
Practice Address - Country:US
Practice Address - Phone:210-842-6953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX98177OtherLICENSED PROFESSIONAL COUNSELOR ASSOCIATE