Organization
VILLAGE LAKE LLC
Active
Organization
VILLAGE LAKE LLC
Active
Other names
Village Lake Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ANAIDY G CLAUDIO ROSA LSCSW, LCAC (THERAPIST)
(316) 284-7730
Entity
Organization
Contact information
Practice address
345 RIVERVIEW ST. #730, WICHITA, KS, KS 67203
(316) 395-2886
Mailing address
3701 E HAVEN DR, DERBY, KS 67037-7041
(316) 284-7730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/15/2024
Last updated
08/01/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up