| Innerspace Pllc | |
|
19 Briar Hollow Lane Suite 120 Houston TX 77027 | |
| (877) 466-3701 | |
| (866) 502-3265 |
| Full Name | Innerspace Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 19 Briar Hollow Lane, Houston, Texas |
| Authorized Official Name and Position | Andrea Moorer (MANAGING PARTNER) |
| Authorized Official Contact | 7132058117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerspace Pllc 19 Briar Hollow Lane Suite 120 Houston TX 77027 Ph: (713) 205-8117 | Innerspace Pllc 19 Briar Hollow Lane Suite 120 Houston TX 77027 Ph: (877) 466-3701 |
| NPI Number | 1083360069 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083360069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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