MEDICARE: MS. SUZANNE REDMOND HORNBUCKLE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	71002	TX

General Provider Information

NPI Number	:	1972051498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUZANNE REDMOND HORNBUCKLE LPC

Provider Business Mailing Address
First Line	:	4321 KINGWOOD DR # 134
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3700
Country	:	US
Telephone Number	:	281-964-9889
Fax Number	:	281-361-8088

Provider Business Practice Location Address
First Line	:	9111 KATY FWY STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1615
Country	:	US
Telephone Number	:	281-964-9889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	06/09/2026

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