Provider Demographics
NPI:1174230924
Name:LABEAUVE SERVICES & OPPORTUNITIES LLC
Entity type:Organization
Organization Name:LABEAUVE SERVICES & OPPORTUNITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKEISHA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LABOVE
Authorized Official - Suffix:
Authorized Official - Credentials:CRC
Authorized Official - Phone:469-767-3421
Mailing Address - Street 1:1916 INDIAN LILAC DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-7205
Mailing Address - Country:US
Mailing Address - Phone:469-767-3421
Mailing Address - Fax:
Practice Address - Street 1:1916 INDIAN LILAC DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-7205
Practice Address - Country:US
Practice Address - Phone:469-767-3421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty