Organization
INNERSPACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MOORER LCSW, LCDC (MANAGING PARTNER)
(713) 205-8117
Entity
Organization
Contact information
Practice address
19 BRIAR HOLLOW LANE, SUITE 120, HOUSTON, TX 77027
(877) 466-3701
(866) 502-3265
Mailing address
19 BRIAR HOLLOW LANE, SUITE 120, HOUSTON, TX 77027
(713) 205-8117
(866) 502-3265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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