Healthcare Provider Details

I. General information

NPI: 1669311676
Provider Name (Legal Business Name): THREE PILLARS COMMUNITY LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4503 CROSLEY FIELD DR
SPRING TX
77389-5307
US

IV. Provider business mailing address

4503 CROSLEY FIELD DR
SPRING TX
77389-5307
US

V. Phone/Fax

Practice location:
  • Phone: 346-426-8482
  • Fax: 713-405-2793
Mailing address:
  • Phone: 346-426-8482
  • Fax: 713-405-2793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. KANDACE LEWIS
Title or Position: PROGRAM MANAGER
Credential:
Phone: 832-705-0114