Active NPI
S.O.a.R. Preparatory Academy LLC
- Case Management Agency
- Pearland, TX
National Provider Identifier
1760995948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- S.O.A.R. PREPARATORY ACADEMY LLC
- Practice address
- 2336 Texas St Ste 102
Pearland, TX 77581-4192 - Phone
- (832) 770-4623
- Fax
- (832) 770-4659
- NPI assigned
- Nov 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Rock
- Title
- Co-Owner
- Phone
- (832) 770-4623
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Counselor | 101YS0200X | |||
| Behavior Analyst | 103K00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Social Worker | 104100000X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2336 Texas St Ste 102
Pearland, TX 77581-4192
Mailing address
2336 Texas St Ste 102
Pearland, TX 77581-4192
Phone (832) 770-4623
National Provider Directory
National Provider DirectoryLocations
2336 N Texas Ave
Ste 102
Pearland, TX 77581
Phone (832) 770-4623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510272000000",
"number": "1760995948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 TEXAS ST STE 102",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775814192",
"telephone_number": "832-770-4623",
"fax_number": "832-770-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 TEXAS ST STE 102",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775814192",
"telephone_number": "832-770-4623",
"fax_number": "832-770-4659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.O.A.R. PREPARATORY ACADEMY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-10",
"last_updated": "2017-11-10",
"status": "A",
"authorized_official_last_name": "ROCK",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "832-770-4623"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.