Provider Demographics
NPI:1588365597
Name:FORAN, SOPHIE MARIE (LCDC, LCSW)
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:MARIE
Last Name:FORAN
Suffix:
Gender:F
Credentials:LCDC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3704 PINE CHASE DR.
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581
Mailing Address - Country:US
Mailing Address - Phone:713-301-3775
Mailing Address - Fax:281-993-9221
Practice Address - Street 1:3704 PINE CHSE DR.
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581
Practice Address - Country:US
Practice Address - Phone:713-301-3775
Practice Address - Fax:281-993-9221
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10123101YA0400X
TX570421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)