Provider Demographics
NPI:1326778440
Name:LUMEN MENTAL HEALTH SERVICES LMHS, LLC
Entity Type:Organization
Organization Name:LUMEN MENTAL HEALTH SERVICES LMHS, LLC
Other - Org Name:LEYLA FEIZE
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST-OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:LEYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIZE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:956-558-2460
Mailing Address - Street 1:2704 MARIA LUIZA DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4617
Mailing Address - Country:US
Mailing Address - Phone:956-558-2460
Mailing Address - Fax:956-587-0014
Practice Address - Street 1:709 W CANO ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4133
Practice Address - Country:US
Practice Address - Phone:956-558-2460
Practice Address - Fax:956-513-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty