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

Lake Shore Center for Behavioral Health, LLC

Organization Adult Mental Health Clinic/Center · NPI 1497011456

Lake Shore Center for Behavioral Health, LLC is an Adult Mental Health Clinic/Center in Waco, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
2
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence 9878 (TX)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 3023 (TX)

Record details

NPI number1497011456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rick Pipkin — Chief Executive Officer · (254) 776-0400
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012
Mailing address4555 Lake Shore Dr, Waco, TX 76710-1814

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