EST 400 OF WACO LLC is a mental health (including community mental health center) clinic center in Waco, TX. EST 400 OF WACO LLC NPI is 1033554837. The provider is registered as an organization entity type. The provider Is Doing Business As Lake Shore Center For Behavioral Health.
The provider's business location address is:
4555 LAKE SHORE DR WACO, TX ZIP 76710-814 Phone: (254) 776-0400 Fax: (254) 776-0637
The provider's authorized official is Ruby C Santibanez . The authorized official title is Business/office Manager and has the following contact phone number (254) 776-0400.
The enumeration date for this NPI number is 5/7/2013 and was last updated on 5/7/2013.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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