VILLAGE LAKE NPI 1326897067

NPI Information

  • NPI: 1326897067
  • Provider Name: VILLAGE LAKE
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: VILLAGE LAKE COUNSELING
  • Address: 345 RIVERVIEW ST. #730
    WICHITA
    KS, KS
    ZIP 67203
  • Phone: (316) 395-2886

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NPI Details

VILLAGE LAKE is an adult mental health clinic center in Ks, KS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. VILLAGE LAKE NPI is 1326897067. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Lake Counseling.

The provider's business location address is:

345 RIVERVIEW ST. #730
WICHITA
KS, KS
ZIP 67203
Phone: (316) 395-2886

The provider's authorized official is Anaidy G Claudio Rosa .
The authorized official title is Therapist and has the following contact phone number (316) 284-7730.

The enumeration date for this NPI number is 5/15/2024 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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