# SLB LEWISVILLE CLINIC I, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Steps Lewisville I
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083878953
- **Authorized official:** SHANDA BICKELHAUPT (OWNER)
- **Authorized official phone:** (214) 478-4297

## Contact information

- **Practice address:** 3501 N MACARTHUR BLVD STE 350A, IRVING, TX 75062-3651
- **Practice address phone:** (972) 353-5437
- **Practice address fax:** (972) 353-5436
- **Mailing address:** 3501 N MACARTHUR BLVD STE 350A, IRVING, TX 75062-3651
- **Mailing address phone:** (972) 353-5437
- **Mailing address fax:** (972) 353-5436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 07/21/2022