Provider Demographics
NPI:1073250585
Name:LMB WELLNESS SERVICES PLLC
Entity Type:Organization
Organization Name:LMB WELLNESS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:346-360-8423
Mailing Address - Street 1:2910 ASHLYN ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-2151
Mailing Address - Country:US
Mailing Address - Phone:346-360-8423
Mailing Address - Fax:
Practice Address - Street 1:4220 CARTWRIGHT RD STE 1105
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2449
Practice Address - Country:US
Practice Address - Phone:346-360-8423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty