Healthcare Provider Details

I. General information

NPI: 1821475039
Provider Name (Legal Business Name): THE RESILIENCE CENTER OF HOUSTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14930 MUESCHKE RD STE 100
CYPRESS TX
77433-0980
US

IV. Provider business mailing address

28652 SHARON LOUISE
MAGNOLIA TX
77355-4611
US

V. Phone/Fax

Practice location:
  • Phone: 346-206-3992
  • Fax: 832-652-3626
Mailing address:
  • Phone: 713-826-8150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNY LEANN BURKHOLDER
Title or Position: OWNER AND THERAPIST
Credential: PH.D., LMFT
Phone: 832-540-0091