Active NPI
Sweetwater Life
- Community/Behavioral Health Agency
- Missouri City, TX
National Provider Identifier
1508737933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SWEETWATER LIFE
- Practice address
- 4311 Stillwater Valley CT
Missouri City, TX 77459-2068 - Phone
- (251) 508-1098
- NPI assigned
- Sep 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evony Cunningham
- Title
- Owner
- Phone
- (251) 508-1098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Registered Nurse | 163W00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4311 Stillwater Valley CT
Missouri City, TX 77459-2068
Mailing address
3130 Grants Lake Blvd # 17724
Sugar Land, TX 77479-1255
National Provider Directory
National Provider DirectoryLocations
3130 Grants Lake Blvd
#17724
Sugar Land, TX 77479
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Missouri City, TX
- NPI 1093430589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779753600000",
"number": "1508737933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 GRANTS LAKE BLVD # 17724",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 STILLWATER VALLEY CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774592068",
"telephone_number": "251-508-1098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEETWATER LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-17",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "EVONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-508-1098"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.