# INNERSPACE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083360069
- **Authorized official:** ANDREA MOORER LCSW, LCDC (MANAGING PARTNER)
- **Authorized official phone:** (713) 205-8117

## Contact information

- **Practice address:** 19 BRIAR HOLLOW LANE, SUITE 120, HOUSTON, TX 77027
- **Practice address phone:** (877) 466-3701
- **Practice address fax:** (866) 502-3265
- **Mailing address:** 19 BRIAR HOLLOW LANE, SUITE 120, HOUSTON, TX 77027
- **Mailing address phone:** (713) 205-8117
- **Mailing address fax:** (866) 502-3265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2022
- **Last updated:** 02/28/2022