Healthcare Provider Details

I. General information

NPI: 1619824042
Provider Name (Legal Business Name): RAYONIA SCIENEAUX BURKETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 LAKE PLAZA DR STE 200-129
SPRING TX
77389-1868
US

IV. Provider business mailing address

1401 LAKE PLAZA DR STE 200-129
SPRING TX
77389-1868
US

V. Phone/Fax

Practice location:
  • Phone: 504-295-2121
  • Fax:
Mailing address:
  • Phone: 832-447-3880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111025
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: