| Lake Pointe Resource Center, Inc. | |
|
1260 Weatherford Hwy Granbury TX 76048-4822 | |
| (682) 333-1555 | |
| (817) 717-2378 |
| Full Name | Lake Pointe Resource Center, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1260 Weatherford Hwy, Granbury, Texas |
| Authorized Official Name and Position | Madalyn Cano (PRESIDENT/CEO) |
| Authorized Official Contact | 6823331555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Pointe Resource Center, Inc. 1260 Weatherford Hwy Granbury TX 76048-4822 Ph: (682) 333-1555 | Lake Pointe Resource Center, Inc. 1260 Weatherford Hwy Granbury TX 76048-4822 Ph: (682) 333-1555 |
| NPI Number | 1750058103 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750058103 | NPI | - | NPPES |
| 453449701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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