Organization
HERITAGE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE RENEE LOZANO MSSW, LCSW (OWNER)
(817) 488-9697
Entity
Organization
Contact information
Practice address
2485 E SOUTHLAKE BLVD, SUITE 180, SOUTHLAKE, TX 76092-6686
(817) 488-9697
(817) 488-9656
Mailing address
2485 E SOUTHLAKE BLVD, SUITE 180, SOUTHLAKE, TX 76092-6686
(817) 488-9697
(817) 488-9656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12584
TX
Other
Enumeration date
05/13/2009
Last updated
10/09/2009
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