Provider Demographics
NPI:1134599459
Name:COLBATH, SHERI KAY
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:KAY
Last Name:COLBATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7606 ELM CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-1199
Mailing Address - Country:US
Mailing Address - Phone:210-740-4673
Mailing Address - Fax:210-547-9604
Practice Address - Street 1:7606 ELM CREEK RD
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-1199
Practice Address - Country:US
Practice Address - Phone:210-740-4673
Practice Address - Fax:210-547-9604
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70569101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional