| Inner Spark Therapy Pllc | |
|
506 Honea Egypt Rd # 303 Magnolia TX 77354-2568 | |
| (936) 261-7908 | |
| Not Available |
| Full Name | Inner Spark Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 506 Honea Egypt Rd # 303, Magnolia, Texas |
| Authorized Official Name and Position | Rebecca Leigh Dolan (OWNER, THERAPIST) |
| Authorized Official Contact | 9362617908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Spark Therapy Pllc 506 Honea Egypt Rd # 303 Magnolia TX 77354-2568 Ph: (936) 261-7908 | Inner Spark Therapy Pllc 506 Honea Egypt Rd # 303 Magnolia TX 77354-2568 Ph: (936) 261-7908 |
| NPI Number | 1346020393 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 05/26/2024 |
| Certification Date | 05/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346020393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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