Provider Demographics
NPI:1285481499
Name:OM THERAPY, PLLC
Entity type:Organization
Organization Name:OM THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:METZKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-567-0671
Mailing Address - Street 1:1754 CORNELIUS TRACE LOOP
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-1916
Mailing Address - Country:US
Mailing Address - Phone:832-567-0671
Mailing Address - Fax:
Practice Address - Street 1:1754 CORNELIUS TRACE LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1916
Practice Address - Country:US
Practice Address - Phone:832-567-0671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty