LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.


Address: 650 Scarbourough, Canyon Lake, TX 78133-4529
Phone: 8309644390

LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC. (NPI# 1538203484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538203484
Entity Type Organization
Organization Name LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Other Organization Name NEW LIFE CHILDREN'S TREATMENT CENTER
Practice Address 650 Scarbourough
Canyon Lake
TX 78133-4529
Mailing Address 8305 Cross Park Dr
Austin
TX 78754-5154
Practice Telephone 8309644390
Practice Fax Number 8309644391
Mailing Telephone 5124591000
Mailing Fax Number 5124526885
Enumeration Date 2007-02-16
Last Update Date 2016-05-17
Authorized Official Name MR. BOB SLOCUM (CEO/EXECUTIVE DIRECTOR)
Authorized Official Telephone 8309644390
Is Organization Subpart Y
Parent Organization Name LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 145547902 05

Other Provider/Organization Names

Other Name Type Code
New Life Children's Treatment Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669084943 Lutheran Social Services of The South, Inc. Counselor 10601 Derecho Drive, Austin, TX 78737-1013 2020-08-19
1528193018 Lutheran Social Services of The South, Inc. Residential Treatment Facility, Emotionally Disturbed Children 4601 N Interstate 35, Denton, TX 76207-3419 2007-02-23
1801942057 Lutheran Social Services of The South, Inc. Residential Treatment Facility, Emotionally Disturbed Children 25752 Kingsland Blvd, Katy, TX 77494-2086 2007-01-27
1053468082 Lutheran Social Services of The South, Inc. Assisted Living Facility 9812 Vinton Ave, Lubbock, TX 79424-6376 2007-01-04
1164579173 Lutheran Social Services of The South, Inc. Clinic/Center 9640 Montwood Dr, El Paso, TX 79925-6032 2007-01-04
1376657742 Lutheran Social Services of The South, Inc. Skilled Nursing Facility 1700 E Stone St, Brenham, TX 77833-5150 2006-08-19
1831489913 Lutheran Social Services of The South, Inc. Home Health 9505 Northpointe Blvd, Spring, TX 77379-3799 2011-04-11
1538482211 Lutheran Social Services of The South, Inc. Home Health 8305 Cross Park Dr, Austin, TX 78754-5154 2010-03-09
1508191479 Lutheran Social Services of The South, Inc. Counselor 8305 Cross Park Dr, Austin, TX 78754-5154 2009-10-12
1952517260 Lutheran Social Services of The South, Inc. Assisted Living Facility 1700 E Stone St, Brenham, TX 77833-5150 2007-05-15

Office Location

Street Address 650 SCARBOUROUGH
City CANYON LAKE
State TX
Zip Code 78133-4529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548887680 Kimberley Dawn Wood Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2020-07-05
1619511581 Camille Mari Coffey Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2019-11-04
1457823734 Clinton R Gholson Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2018-12-26
1184145468 Delaney Paige Bloemke Social Worker 650 Scarbourough, Canyon Lake, TX 78133-4529 2017-06-27
1285154328 Lorena L Peaslee Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2017-06-20
1407394075 Elizabeth Rose Aleman Social Worker 650 Scarbourough, Canyon Lake, TX 78133-4529 2017-02-03
1679016646 Reanna Nicole Pena Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2016-11-23
1902354657 Martha Martinezl Chichil-zepeda Residential Treatment Facility, Emotionally Disturbed Children 650 Scarbourough, Canyon Lake, TX 78133-4529 2016-09-12
1235489949 Claire Finch Social Worker 650 Scarbourough, Canyon Lake, TX 78133-4529 2012-09-11
1932418639 Barbara Gadient Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2010-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309571 Amanda Mills Registered Nurse 1811 Montview, Canyon Lake, TX 78133 2020-09-01
1104301902 Jannah Holley Vise Acupuncturist 190 Crazy Horse Trail, Canyon Lake, TX 78133 2018-09-27
1023480555 Brookshire Brothers Inc Pharmacy 18275 Fm 306, Canyon Lake, TX 78133 2015-10-23
1154440873 Jose P. Morin Specialist/Technologist, Other 623 Marlys Ave, Canyon Lake, TX 78133 2007-03-28
1619059060 Brandon Grimm D.c. P.a. Chiropractor 14812 South Access Road, Canyon Lake, TX 78133 2006-10-19
1649543455 Jeffrey Quentin Harper Chiropractor 1742 Fm 2673, Canyon Lake, TX 78133 2012-02-10
1225348048 Hill Country Surgical Assistants Specialist/Technologist, Other 623 Marlys Ave, Canyon Lake, TX 78133 2010-10-14
1376554253 Don Coleman Rehabilitation Practitioner 111 Toye Blvd, Canyon Lake, TX 78133 2006-08-10
1063943041 Windmill Wellness Ranch LLC Substance Abuse Rehabilitation Facility 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 2017-03-22
1174143051 Joseph Lee Kastigar Peer Specialist 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 2020-04-21
Find all providers in zip 78133

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902354657 Martha Martinezl Chichil-zepeda Residential Treatment Facility, Emotionally Disturbed Children 650 Scarbourough, Canyon Lake, TX 78133-4529 2016-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063030054 Life's Purpose Residential Treatment Facility, Emotionally Disturbed Children 1211 Lark Ln, Richmond, TX 77469-7803 2020-07-07
1588293112 Angelica Marie Griffin Residential Treatment Facility, Emotionally Disturbed Children 12500 Shadowglen Trace 3204, Manor, TX 78653 2020-04-06
1639702236 The Landing At Corpus Christi Residential Treatment Facility, Emotionally Disturbed Children 2058 Fm 665, Corpus Christi, TX 78415 2020-02-21
1083158943 Pinnacle Hc LLC Residential Treatment Facility, Emotionally Disturbed Children 980 S Coit Rd, 1322, Prosper, TX 75078-2989 2016-12-12
1932558517 The Eunice House, LLC Residential Treatment Facility, Emotionally Disturbed Children 1114 Watson Crossing Way, Houston, TX 77067-1627 2016-06-06
1033577119 2nd Chanze Organization Residential Treatment Facility, Emotionally Disturbed Children 27102 Breton Bridge Ct, Cypress, TX 77433-7552 2016-02-04
1780073452 Oyin'da LLC Residential Treatment Facility, Emotionally Disturbed Children 5551 Latta Plantation Dr, Katy, TX 77449-1557 2015-01-17
1376883322 Angels With Open Arms Residential Treatment Facility, Emotionally Disturbed Children 6435 Tumbling Creek Trl, Dallas, TX 75241-5915 2013-02-27
1316201981 Treathem, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2904 1st St, Bay City, TX 77414-6828 2012-06-28
1588939532 Turning Point Children's Social Services Residential Treatment Facility, Emotionally Disturbed Children 2224 Spring Creek Dr, Spring, TX 77373-6138 2012-03-08
Find all providers with the same taxonomy

Competitor

Search similar providers

City CANYON LAKE
Zip Code 78133

Improve Information

Please comment or provide details below to improve the information on LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches