Provider Demographics
NPI:1730676792
Name:SOLACE CENTER SIENNA PLLC
Entity Type:Organization
Organization Name:SOLACE CENTER SIENNA PLLC
Other - Org Name:BRUCE PSYCHOTHERAPY, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PRESIDENT
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-S
Authorized Official - Phone:832-462-4260
Mailing Address - Street 1:10818 COBBLECREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6839
Mailing Address - Country:US
Mailing Address - Phone:832-462-4260
Mailing Address - Fax:287-778-8734
Practice Address - Street 1:4502 RIVERSTONE BLVD STE 603
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5205
Practice Address - Country:US
Practice Address - Phone:832-462-4260
Practice Address - Fax:281-778-8734
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRUCE PSYCHOTHERAPY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33089251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health