| Lake Shore Center For Behavioral Health, Llc | |
|
4555 Lake Shore Dr Waco TX 76710-1814 | |
| (254) 776-0400 | |
| Not Available |
| Full Name | Lake Shore Center For Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4555 Lake Shore Dr, Waco, Texas |
| Authorized Official Name and Position | Rick Pipkin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2547760400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Shore Center For Behavioral Health, Llc 4555 Lake Shore Dr Waco TX 76710-1814 Ph: (254) 776-0400 | Lake Shore Center For Behavioral Health, Llc 4555 Lake Shore Dr Waco TX 76710-1814 Ph: (254) 776-0400 |
| NPI Number | 1497011456 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497011456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 9878 (Texas) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 3023 (Texas) | Secondary |
Enrichment Training And Counseling Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sanger Ave, Suite 12, Waco, TX 76710 Phone: 254-235-3500 | |
Cenikor Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Gholson Rd., Waco, TX 76704 Phone: 254-299-8880 | |
Dr.jonas Moen P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hwy 6 Suite 100, Waco, TX 76712 Phone: 254-776-0026 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Est 400 Of Waco Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Lake Shore Dr, Waco, TX 76710 Phone: 254-776-0400 Fax: 254-776-0637 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |