Organization
LAKE POINTE RESOURCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADALYN CANO MSSW, LCSW (PRESIDENT/CEO)
(682) 333-1555
Entity
Organization
Contact information
Practice address
1260 WEATHERFORD HWY, GRANBURY, TX 76048-4822
(682) 333-1555
(817) 717-2378
Mailing address
1260 WEATHERFORD HWY, GRANBURY, TX 76048-4822
(682) 333-1555
(817) 717-2378
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453449701
—
TX
Enumeration date
08/24/2021
Last updated
03/10/2025
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