Inner Spark Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER SPARK THERAPY PLLC

Practice address

506 Honea Egypt Rd # 303
Magnolia, TX 77354-2568

Phone

(936) 261-7908

NPI assigned

Oct 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rebecca Leigh Dolan, LCSWNPI 1407598766

Title

Owner, Therapist

Phone

(936) 261-7908

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Leigh Dolan, LCSW

  • Clinical Social Worker
  • Magnolia, TX
  • NPI 1407598766
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1346020393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HONEA EGYPT RD # 303",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542568",
            "telephone_number": "936-261-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HONEA EGYPT RD # 303",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542568",
            "telephone_number": "936-261-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SPARK THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "936-261-7908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.