Provider Demographics
NPI:1053544999
Name:ANTONY, SUNI (LCSW-S, LCDC)
Entity type:Individual
Prefix:
First Name:SUNI
Middle Name:
Last Name:ANTONY
Suffix:
Gender:F
Credentials:LCSW-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 LAKE FALLS TER
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4319
Mailing Address - Country:US
Mailing Address - Phone:908-420-9054
Mailing Address - Fax:
Practice Address - Street 1:4425 PLANO PKWY STE 704
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-5031
Practice Address - Country:US
Practice Address - Phone:908-420-9054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6042111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical