| Lake Shore Center For Behavioral Health | |
|
4555 Lake Shore Dr Waco TX 76710-1814 | |
| (254) 776-0400 | |
| (254) 776-0637 |
| Full Name | Lake Shore Center For Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4555 Lake Shore Dr, Waco, Texas |
| Authorized Official Name and Position | Ruby C Santibanez (BUSINESS/OFFICE MANAGER) |
| 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 4555 Lake Shore Dr Waco TX 76710-1814 Ph: (254) 776-0400 | Lake Shore Center For Behavioral Health 4555 Lake Shore Dr Waco TX 76710-1814 Ph: (254) 776-0400 |
| NPI Number | 1033554837 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033554837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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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 | |
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 |