Healthcare Provider Details

I. General information

NPI: 1083190862
Provider Name (Legal Business Name): LAKEVIEW HEALTH SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 PACIFIC AVE STE 13700
DALLAS TX
75201-4599
US

IV. Provider business mailing address

1910 PACIFIC AVE STE 13700
DALLAS TX
75201-4599
US

V. Phone/Fax

Practice location:
  • Phone: 214-643-6820
  • Fax:
Mailing address:
  • Phone: 214-643-6820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERIDAN ROBINSON
Title or Position: OWNER / ADMINISTRATOR
Credential:
Phone: 214-643-6820