Organization
E AND S SKYLINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BURRELL (MANAGING MEMBER)
(832) 497-5055
Entity
Organization
Contact information
Practice address
2100 WEST LOOP S STE 800, HOUSTON, TX 77027-3522
(832) 497-5055
Mailing address
2100 WEST LOOP S STE 800, HOUSTON, TX 77027-3739
(832) 497-5055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358264501
—
TX
Enumeration date
08/14/2019
Last updated
11/15/2023
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