P Praxis·MD
● Active Type 2 · Organization

Canyon Lakes Residential Treatment Center

Residential Treatment Facility, Emotionally Disturbed Children·Lubbock, TX· NPI 1780762989 · Enumerated 2006 · 19 years on NPI
Canyon Lakes Residential Treatment Center is 1 of 94 residential treatment facility, emotionally disturbed children organizations in Texas.
NPI age
19 years
Enumerated 2006-11-02
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Staha
Executive Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 94 active residential treatment facility, emotionally disturbed children providers in Texas.

NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2402 Canyon Lakes Dr
Lubbock, TX 794152000
📞 8067625782fax 8067620838
Mailing address
2402 Canyon Lakes Dr
Lubbock, TX 794152000
📞 8067625782fax 8067620838

Authorized official

Lenise L Staha
Executive Director
📞 8067625782

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Residential Treatment Facility, Emotionally Disturbed Children Primary
    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
    taxonomy 322D00000X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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