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Organization

LAKESHORE PSYCHIATRY & WELLNESS

Active
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Organization

LAKESHORE PSYCHIATRY & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANNAE WATKINS NP (PMHNP)
(219) 791-3512
Entity
Organization

Contact information

Practice address
201 E 5TH AVE STE A, GARY, IN 46402-1300
(219) 791-3512
(877) 349-7157
Mailing address
201 E 5TH AVE STE A, GARY, IN 46402-1300
(219) 791-3512
(877) 349-7157

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
07/15/2026
Last updated
07/28/2026
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