Provider Demographics
NPI:1720573108
Name:SKYWARD TREATMENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SKYWARD TREATMENT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-444-0614
Mailing Address - Street 1:PO BOX 1104
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-1104
Mailing Address - Country:US
Mailing Address - Phone:713-444-0614
Mailing Address - Fax:866-804-7241
Practice Address - Street 1:11352 SUGAR PARK LN.
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-1406
Practice Address - Country:US
Practice Address - Phone:833-839-7591
Practice Address - Fax:281-491-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility