Lake Substance Abuse Solutions LLC
NPI #1124598669 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1124598669
- Entity Type
- Organization
- Organization Name
- Lake Substance Abuse Solutions LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 27, 2018
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 1507 SPRING ST
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130-2939
- Phone
- (833) 525-3727
Authorized Official
- Name
- DAVID CORDDRY
- Title
- OWNER
- Phone
- (407) 622-8086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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