Provider Demographics
NPI:1508101981
Name:SOS LIFE RING, PLLC
Entity Type:Organization
Organization Name:SOS LIFE RING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LYLLIS
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, NCC, LPC
Authorized Official - Phone:936-537-9081
Mailing Address - Street 1:719 SAWDUST RD STE 331
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2916
Mailing Address - Country:US
Mailing Address - Phone:936-537-9081
Mailing Address - Fax:281-466-2443
Practice Address - Street 1:719 SAWDUST RD STE 331
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2916
Practice Address - Country:US
Practice Address - Phone:936-537-9081
Practice Address - Fax:281-466-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65012251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health