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
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/04/2019
Last updated
05/23/2025
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