Lake Shore Center For Psychological Services, P.C.

LBN: Lake Shore Center For Psychological Services, P.C.
Lake Shore Center For Psychological Services, P.C. is an health care organization with primary practice located at 4555 Lake Shore Dr , Waco TX 76710-1814. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Lake Shore Center For Psychological Services, P.C. can be contacted via phone (254) 776-0400, or through Lecrone, Harold H via phone (254) 776-0400.

Contact Information

Primary practice address
4555 Lake Shore Dr Waco TX 76710-1814
Phone: (254) 776-0400
Fax: (254) 776-0637
Website:
Map and Directions
Authorized official contact:
Name: Lecrone, Harold H PH.D.
Phone: (254) 776-0400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1467599779
LBN Legal business name Lake Shore Center For Psychological Services, P.C.
DBA Doing business as
Authorized official Lecrone, Harold H PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467599779 NPPES
Texas Other HH5047 BLUE CROSS ID NUMBER

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