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Organization

LICASA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ANN LERMA (EXECUTIVE DIRECTOR)
(805) 415-1536
Entity
Organization

Contact information

Practice address
2109 MAUREL STE E, CONROE, TX 77304-3804
(805) 415-1536
Mailing address
2109 MAUREL STE E, CONROE, TX 77304-3804
(805) 415-1536

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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