Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Est 400 of Waco LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1033554837

Est 400 of Waco LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Waco, Texas. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4555 Lake Shore Dr
Waco, TX 76710-1814
Phone: (254) 776-0400
Fax: (254) 776-0637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1033554837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruby Santibanez — Business/Office Manager · (254) 776-0400
Other names Lake Shore Center For Behavioral Health
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 7, 2013
Mailing address4555 Lake Shore Dr, Waco, TX 76710-1814

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