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

Lake Shore Center for Psychological Services, PC

Organization Professional Counselor · NPI 1467599779

Lake Shore Center for Psychological Services, PC is a Professional Counselor in Waco, Texas. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Professional Counselor Taxonomy 101YP2500X
Psychologist Taxonomy 103T00000X

Record details

NPI number1467599779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harold Lecrone — Executive Director · (254) 776-0400
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJanuary 5, 2011
Mailing address4555 Lake Shore Dr, Waco, TX 76710-1814

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