Lutheran Social Services Of The South, Inc. in Canyon Lake - Residential Treatment Facility, Emotionally Disturbed Children
Lutheran Social Services Of The South, Inc. - NPI 1538203484
Lutheran Social Services Of The South, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Canyon Lake, Texas. Lutheran Social Services Of The South, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Lutheran Social Services Of The South, Inc. is 1538203484. The last update date is 2021-07-26.
Lutheran Social Services Of The South, Inc.'s current location address is 650 Scarbourough, Canyon Lake, Texas. You can contact this provider via phone number 8309644390 and fax number 8309644391. The mailing address for Lutheran Social Services Of The South, Inc. is 650 Scarbourough, Canyon Lake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lutheran Social Services Of The South, Inc. |
|---|---|
| Address | 650 Scarbourough, Canyon Lake, Texas |
| Phone Number | 8309644390 |
| Fax Number | 8309644391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF PROG |
|---|---|
| Authorized Official Name | Bezio Krystale |
| Credentials | MSW, LCPAA |
| Telephone Number | 5124591000 |
NPI Number Detail
| NPI Number | 1538203484 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2021-07-26 |
Provider Mailing Address Detail
| Address | 650 Scarbourough |
|---|---|
| City | Canyon Lake |
| State | Texas (TX) |
| Post Code | 781334529 |
| Phone Number | 8309644390 |
| Fax Number | 8309644391 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145547902 | TX | -- |
Post Comment/ Review Below
What is the Lutheran Social Services Of The South, Inc.'s unique identification number?
The Lutheran Social Services Of The South, Inc. has been assigned the NPI (National Provider Identifier) Number 1538203484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lutheran Social Services Of The South, Inc. is located?
The Lutheran Social Services Of The South, Inc. is situated at the following address: 650 Scarbourough, Canyon Lake, TX, 781334529.
What is Lutheran Social Services Of The South, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lutheran Social Services Of The South, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
When did Lutheran Social Services Of The South, Inc. receive its 1538203484 assignment?
The Lutheran Social Services Of The South, Inc. was assigned its 1538203484 on 2007-02-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lutheran Social Services Of The South, Inc. most recently updated?
The details pertaining to the Lutheran Social Services Of The South, Inc., including its address, specialty, and other relevant information, were last refreshed on 2021-07-26.
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