Organization
LAKE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS LAKE LSW (OWNER/THERAPIST)
(717) 575-3757
Entity
Organization
Contact information
Practice address
100 HIGHLANDS DR, SUITE 301C, LITITZ, PA 17543-7693
(717) 575-3757
(717) 620-3285
Mailing address
100 HIGHLANDS DR, SUITE 301C, LITITZ, PA 17543-7693
(717) 575-3757
(717) 620-3285
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
127241
PA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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