SOLACIUM FULSHEAR LLC NPI 1558148874

NPI Information

  • NPI: 1558148874
  • Provider Name: SOLACIUM FULSHEAR, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: FULSHEAR TREATMENT TO TRANSITION
  • CLIA Number: 45D2061072
  • Address: 4800 SUGAR GROVE BLVD STE 275
    STAFFORD, TX
    ZIP 77477
  • Phone: (855) 264-2177

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NPI Details

SOLACIUM FULSHEAR, LLC is a mental health (including community mental health center) clinic center in Stafford, TX. SOLACIUM FULSHEAR, LLC NPI is 1558148874. 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:

4800 SUGAR GROVE BLVD STE 275
STAFFORD, TX
ZIP 77477-150
Phone: (855) 264-2177

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 CLIA number assigned to this NPI record is 45D2061072 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2023 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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 3/30/2025

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