Provider Demographics
NPI:1083190862
Name:LAKEVIEW HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:LAKEVIEW HEALTH SOLUTIONS, PLLC
Other - Org Name:LAKEVIEW HEALTH SOLUTIONS, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERIDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-643-6820
Mailing Address - Street 1:1910 PACIFIC AVE STE 13700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-4599
Mailing Address - Country:US
Mailing Address - Phone:214-643-6820
Mailing Address - Fax:
Practice Address - Street 1:1910 PACIFIC AVE STE 13700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-4599
Practice Address - Country:US
Practice Address - Phone:214-643-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty