Provider Demographics
NPI:1336392851
Name:BURNETT, ECENTHIA LEPEARL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ECENTHIA
Middle Name:LEPEARL
Last Name:BURNETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13702 VINTAGE CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2247
Mailing Address - Country:US
Mailing Address - Phone:832-868-2227
Mailing Address - Fax:
Practice Address - Street 1:13702 VINTAGE CENTRE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2247
Practice Address - Country:US
Practice Address - Phone:832-868-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical