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SOLACIUM FULSHEAR LLC NPI 1164665303


NPI Information

NPI: 1164665303
Provider Name: SOLACIUM FULSHEAR, LLC

Other Name: FULSHEAR TREATMENT TO TRANSITION

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
10514 OBERRENDER RD
NEEDVILLE, TX
ZIP 77461
Phone: (979) 793-3014
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SOLACIUM FULSHEAR, LLC is a community based residential treatment facility mental illness in Needville, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SOLACIUM FULSHEAR, LLC NPI is 1164665303. The provider is registered as an organization entity type.
The provider Other Name Is Fulshear Treatment To Transition.

The provider's business location address is:

10514 OBERRENDER RD
NEEDVILLE, TX
ZIP 77461-700
Phone: (979) 793-3014

The provider's authorized official is Laura J Brown .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (661) 829-4060.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 11/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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