Provider Demographics
NPI:1073960084
Name:FINDING SOLACE IOP, LLC
Entity Type:Organization
Organization Name:FINDING SOLACE IOP, LLC
Other - Org Name:THE SOLACE CENTER, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LAINE
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-778-9530
Mailing Address - Street 1:4502 RIVERSTONE BLVD
Mailing Address - Street 2:SUITE # 601
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5204
Mailing Address - Country:US
Mailing Address - Phone:281-778-9530
Mailing Address - Fax:281-778-9532
Practice Address - Street 1:4502 RIVERSTONE BLVD
Practice Address - Street 2:SUITE # 601
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5204
Practice Address - Country:US
Practice Address - Phone:281-778-9530
Practice Address - Fax:281-778-9532
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SOLACE CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33089261QM0801X
TXP0585261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)