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LAKE SHORE CENTER FOR BEHAVIORAL HEALTH
NPI 1033554837
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waco, TX

Active since May 07, 2013
4555 LAKE SHORE DR, WACO, TX 76710(254) 776-0400(254) 776-0637 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Shore Center For Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SHORE CENTER FOR BEHAVIORAL HEALTH (NPI 1033554837) is a healthcare organization registered as a mental health (including community mental health center) in Waco, Texas and active in the NPI registry since May 2013. The organization lists Ruby C Santibanez, Business/office Manager, as its authorized official.

NPPES Registry Identity

NPI1033554837
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEST 400 OF WACO LLC
Location Address4555 LAKE SHORE DRWaco, TX 76710-1814
Mailing Address4555 Lake Shore DrWaco, TX 76710-1814 · (254) 776-0400 · Fax (254) 776-0637
Phone(254) 776-0400
Fax(254) 776-0637
Organization SubpartNo
Authorized OfficialRuby C SantibanezBusiness/office Manager · (254) 776-0400
Enumeration DateMay 7, 2013
✔ NPI 1033554837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4555 LAKE SHORE DR, Waco, TX 76710
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Other Names 1

Doing Business AsLake Shore Center For Behavioral Health

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY D HARDT PH.D.
Psychologist
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
DIANE MARIE FORTE LPC
Counselor (Professional)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
HENRY DAVID HARDT PH D
Clinic/Center (Adult Mental Health)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
R LEON SCHMITZ M.A.
Counselor (Professional)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
JANE H NORCROSS LCSW
Social Worker (Clinical)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
CYNTHIA C JANECKA LCSW
Social Worker (Clinical)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
LAKE SHORE CENTER FOR PSYCHOLOGICAL SERVICES, P.C.
Psychologist (Clinical)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400
LAKE SHORE CENTER FOR BEHAVIORAL HEALTH, LLC
Clinic/Center (Adult Mental Health)
4555 LAKE SHORE DR
WACO, TX 76710
McLennan County (254) 776-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Est 400 Of Waco LLC's NPI number?

The NPI number for Est 400 Of Waco LLC is 1033554837. It was assigned to this organization in the NPPES registry on May 7, 2013. The provider is doing business as Lake Shore Center For Behavioral Health.

Where is Est 400 Of Waco LLC located?

Est 400 Of Waco LLC is located at 4555 Lake Shore Dr, Waco, TX 76710. The listed phone number is (254) 776-0400.

What is Est 400 Of Waco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Est 400 Of Waco LLC was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.