Healthcare Provider Details

I. General information

NPI: 1760396980
Provider Name (Legal Business Name): L.S.B. ENTERPRISES HOLDINGS LLC DBA RESOLUTION RANCH ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2274 COUNTY ROAD 203 LOOP
CAMERON TX
76520-4531
US

IV. Provider business mailing address

2274 COUNTY ROAD 203 LOOP
CAMERON TX
76520-4531
US

V. Phone/Fax

Practice location:
  • Phone: 254-718-3354
  • Fax: 512-532-6615
Mailing address:
  • Phone: 254-718-3354
  • Fax: 512-532-6615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN S MCGARRAHAN
Title or Position: FOUNDER
Credential:
Phone: 254-718-3364