Organization
LAKE COUNTRY THERAPIST
Active
Other names
Lake Country Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DRAKE LCSW (OWNER)
(414) 405-5067
Entity
Organization
Contact information
Practice address
354 COTTONWOOD AVE STE C, HARTLAND, WI 53029-2011
(262) 290-3163
Mailing address
N8263 WOODY LN, IXONIA, WI 53036
(414) 405-5067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780223073
—
WI
Enumeration date
02/18/2022
Last updated
04/06/2022
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