Provider Demographics
NPI:1306058771
Name:BRUCE, ERICA LAINE (LCSW-S)
Entity type:Individual
Prefix:MISS
First Name:ERICA
Middle Name:LAINE
Last Name:BRUCE
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:10818 COBBLECREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6839
Mailing Address - Country:US
Mailing Address - Phone:832-462-4260
Mailing Address - Fax:
Practice Address - Street 1:5777 SIENNA PKWY STE 350
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-7403
Practice Address - Country:US
Practice Address - Phone:281-778-8715
Practice Address - Fax:281-778-8734
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical