LAKE SHORE CENTER FOR BEHAVIORAL HEALTH LLC NPI 1497011456

NPI Information

  • NPI: 1497011456
  • Provider Name: LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 4555 LAKE SHORE DR
    WACO, TX
    ZIP 76710
  • Phone: (254) 776-0400

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NPI Details

LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC is an adult mental health clinic center in Waco, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC NPI is 1497011456. The provider is registered as an organization entity type.

The provider's business location address is:

4555 LAKE SHORE DR
WACO, TX
ZIP 76710-814
Phone: (254) 776-0400

The provider's authorized official is Rick Pipkin .
The authorized official title is Chief Executive Officer and has the following contact phone number (254) 776-0400.

The enumeration date for this NPI number is 4/4/2012 and was last updated on 4/4/2012.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder3023TEXASNo
2261QM0850XClinic/CenterAdult Mental Health9878TEXASYes

What is NPI?

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: 11/21/2025

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