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Organization

SOLACE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATOYA MCCOY BCBT, LBT,LCDC (COUNSELOR/ PROGRAM DIRECTOR)
(409) 984-3016
Entity
Organization

Contact information

Practice address
2400 FM 365, SUITE 209A, NEDERLAND, TX 77627-6250
(409) 984-3016
Mailing address
726 DALLAS ST, PORT NECHES, TX 77651-2306

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
385H00000X
Respite Care

Other

Enumeration date
06/04/2019
Last updated
06/16/2026
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