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NPI Code Detail

MEDICARE: LIMBIC OPTIMIND.PLLC

MEDICARE: LIMBIC OPTIMIND.PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1265293625
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIMBIC OPTIMIND.PLLC
Provider Business Mailing Address
First Line : 1000 E VERMONT AVE APT 7101
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1707
Country : US
Telephone Number : 832-888-2410
Fax Number :
Provider Business Practice Location Address
First Line : 12333 SOWDEN RD.
Second Line : STE. B #199107
City : HOUSTON
State : TX
Zip : 77080-7708
Country : US
Telephone Number : 832-888-2410
Fax Number :
Authorized Official
Title or Position : FOUNDER & CEO / CLINICAL DIRECTOR
Name : TONI LAWRENCE
Credential : LCSW
Telephone Number : 832-888-2410
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “LIMBIC OPTIMIND.PLLC ” Practice Location

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