Provider Demographics
NPI:1861628125
Name:LSV THERAPEUTIC SOLUTIONS INC.
Entity type:Organization
Organization Name:LSV THERAPEUTIC SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VALSECA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,LCDC
Authorized Official - Phone:512-693-7244
Mailing Address - Street 1:1825 FORTVIEW RD
Mailing Address - Street 2:SUITE 112-A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7657
Mailing Address - Country:US
Mailing Address - Phone:512-693-7244
Mailing Address - Fax:512-828-7759
Practice Address - Street 1:1825 FORTVIEW RD
Practice Address - Street 2:SUITE 112-A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7657
Practice Address - Country:US
Practice Address - Phone:512-693-7244
Practice Address - Fax:512-828-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028540501Medicaid