| Bruce Psychotherapy, Pllc | |
|
5777 Sienna Pkwy Ste 350 Missouri City TX 77459-7403 | |
| (281) 778-8715 | |
| (281) 778-8734 |
| Full Name | Bruce Psychotherapy, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5777 Sienna Pkwy Ste 350, Missouri City, Texas |
| Authorized Official Name and Position | Erica Laine Bruce (OWNER/ DIRECTOR) |
| Authorized Official Contact | 2817788715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Psychotherapy, Pllc 10818 Cobblecreek Way Missouri City TX 77459-6839 Ph: (832) 462-4260 | Bruce Psychotherapy, Pllc 5777 Sienna Pkwy Ste 350 Missouri City TX 77459-7403 Ph: (281) 778-8715 |
| NPI Number | 1730676792 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 5890035950 |
|---|---|
| Medicare Enrollment ID | O20190327002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730676792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 33089 (Texas) | Primary |
| Provider Name | Erica L Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306058771 PECOS PAC ID: 5092982223 Enrollment ID: I20120111000559 |
| Provider Name | Munira Jiwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558549 PECOS PAC ID: 6406172170 Enrollment ID: I20150225000139 |
| Provider Name | Elizabeth Dexter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003422957 PECOS PAC ID: 3173943388 Enrollment ID: I20201008002303 |
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