Provider Demographics
NPI:1881075588
Name:SHERRY MALCOMB GILL & ASSOCIATES
Entity type:Organization
Organization Name:SHERRY MALCOMB GILL & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:MALCOMB
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:281-491-4400
Mailing Address - Street 1:14100 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3466
Mailing Address - Country:US
Mailing Address - Phone:281-491-4400
Mailing Address - Fax:281-491-3565
Practice Address - Street 1:14100 SOUTHWEST FWY
Practice Address - Street 2:SUITE 240
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3466
Practice Address - Country:US
Practice Address - Phone:281-491-4400
Practice Address - Fax:281-491-3565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9829251S00000X
TX3491251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX025695001Medicaid
TX1245393792OtherINDIVIDUAL NPI NUMBER