Provider Demographics
NPI:1619527553
Name:SKYE EMPOWERMENT SERVICES
Entity Type:Organization
Organization Name:SKYE EMPOWERMENT SERVICES
Other - Org Name:SKYE EMPOWERMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLFWALTERS
Authorized Official - Middle Name:
Authorized Official - Last Name:ENOWBESONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-489-5731
Mailing Address - Street 1:1601 MAIN ST STE 502
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3244
Mailing Address - Country:US
Mailing Address - Phone:281-865-5670
Mailing Address - Fax:281-302-5873
Practice Address - Street 1:1601 MAIN ST STE 502
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3244
Practice Address - Country:US
Practice Address - Phone:281-865-5670
Practice Address - Fax:281-302-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health