# ELAINE'S TRIO GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609240167
- **Authorized official:** TU'SHEILA E. STEWART LCDC (OWNER)
- **Authorized official phone:** (210) 446-8797

## Contact information

- **Practice address:** 512 BOWIE, UNIVERSAL CITY, TX 78148-4407
- **Practice address phone:** (210) 446-8797
- **Mailing address:** 133 WILLOW VW, CIBOLO, TX 78108-2261
- **Mailing address phone:** (210) 446-8797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 12/02/2015