Organization
S.O.A.R. PREPARATORY ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ROCK (CO-OWNER)
(832) 770-4623
Entity
Organization
Contact information
Practice address
2336 TEXAS ST STE 102, PEARLAND, TX 77581-4192
(832) 770-4623
(832) 770-4659
Mailing address
2336 TEXAS ST STE 102, PEARLAND, TX 77581-4192
(832) 770-4623
(832) 770-4659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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