Provider Demographics
NPI:1720892235
Name:ENGAGING SOLACE THERAPY PLLC
Entity type:Organization
Organization Name:ENGAGING SOLACE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:AUTRY-KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT ASSOCIATE
Authorized Official - Phone:817-522-8406
Mailing Address - Street 1:4787 VISTA WOOD BLVD
Mailing Address - Street 2:STE 170-309887
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232
Mailing Address - Country:US
Mailing Address - Phone:817-522-8406
Mailing Address - Fax:
Practice Address - Street 1:1398 W MAYFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2352
Practice Address - Country:US
Practice Address - Phone:817-522-8406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty