MEDICARE: LORET'S BEHAVIORAL HEALTH SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1760325716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORET'S BEHAVIORAL HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	26839 CHANDRILA VISTA CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-0218
Country	:	US
Telephone Number	:	832-988-2753
Fax Number	:

Provider Business Practice Location Address
First Line	:	26839 CHANDRILA VISTA CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-0218
Country	:	US
Telephone Number	:	832-988-2753
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDGAR H LORET DE MOLA PLAZA
Credential	:
Telephone Number	:	832-988-2753

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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