Provider Demographics
NPI:1265293625
Name:LIMBIC OPTIMIND.PLLC
Entity type:Organization
Organization Name:LIMBIC OPTIMIND.PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO / CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:832-888-2410
Mailing Address - Street 1:1000 E VERMONT AVE APT 7101
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1707
Mailing Address - Country:US
Mailing Address - Phone:832-888-2410
Mailing Address - Fax:
Practice Address - Street 1:12333 SOWDEN RD.
Practice Address - Street 2:STE. B #199107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-7708
Practice Address - Country:US
Practice Address - Phone:832-888-2410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty