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CANYON LAKES RESIDENTIAL TREATMENT CENTER
NPI 1780762989
Residential Treatment Facility, Emotionally Disturbed Children in Lubbock, TX

Active since November 02, 2006
2402 CANYON LAKES DR, LUBBOCK, TX 79415(806) 762-5782(806) 762-0838 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canyon Lakes Residential Treatment Center NPPES

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

CANYON LAKES RESIDENTIAL TREATMENT CENTER (NPI 1780762989) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lubbock, Texas and active in the NPI registry since November 2006. The organization lists Lenise L Staha, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780762989
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCANYON LAKES RESIDENTIAL TREATMENT CENTER
Location Address2402 CANYON LAKES DRLubbock, TX 79415-2000
Mailing Address2402 Canyon Lakes DrLubbock, TX 79415-2000 · (806) 762-5782 · Fax (806) 762-0838
Phone(806) 762-5782
Fax(806) 762-0838
Organization SubpartNo
Authorized OfficialLenise L StahaExecutive Director · (806) 762-5782
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780762989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2402 CANYON LAKES DR, Lubbock, TX 79415
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Other Providers at the Same Location NPPES 3

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

MRS. ANGELA RAE ALSPAUGH M.ED.
Counselor (Professional)
2402 CANYON LAKES DR
LUBBOCK, TX 79415
Lubbock County (806) 762-5782
ANGELA KAY GIDEON L.P.C
Counselor (Professional)
2402 CANYON LAKES DR
LUBBOCK, TX 79415
Lubbock County (806) 762-5782
LYNNE LOUISE FRUGE' LCSW
Social Worker (Clinical)
2402 CANYON LAKES DR
LUBBOCK, TX 79415
Lubbock County (806) 762-5782

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 Canyon Lakes Residential Treatment Center's NPI number?

The NPI number for Canyon Lakes Residential Treatment Center is 1780762989. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Canyon Lakes Residential Treatment Center located?

Canyon Lakes Residential Treatment Center is located at 2402 Canyon Lakes Dr, Lubbock, TX 79415. The listed phone number is (806) 762-5782.

What is Canyon Lakes Residential Treatment Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Canyon Lakes Residential Treatment Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.