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LAKE PARK GROUP LLC NPI 1578756334


NPI Information

NPI: 1578756334
Provider Name: LAKE PARK GROUP, LLC

Doing Business As: LAKE PARK

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2114 W GRANT RD
24
TUCSON, AZ
ZIP 85745
Phone: (520) 365-2025
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LAKE PARK GROUP, LLC is a community behavioral health in Tucson, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LAKE PARK GROUP, LLC NPI is 1578756334. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Park.

The provider's business location address is:

2114 W GRANT RD
24
TUCSON, AZ
ZIP 85745-141
Phone: (520) 365-2025
Fax: (520) 365-2027

The provider's authorized official is Miriam Cosey .
The authorized official title is Administrator and has the following contact phone number (520) 262-5583.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 3/14/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesARIZONANo
2251S00000XCommunity/Behavioral HealthYes

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: 4/28/2024

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