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AMANDA KAY LAKE NPI 1992998900


NPI Information

NPI: 1992998900
Provider Name: AMANDA KAY LAKE
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
113 S FRANKLIN ST
JANESVILLE, WI
ZIP 53548
Phone: (608) 743-2417
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Amanda Kay Lake is a marriage family therapist in Janesville, WI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Amanda Kay Lake NPI is 1992998900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

113 S FRANKLIN ST
JANESVILLE, WI
ZIP 53548-812
Phone: (608) 743-2417
Fax: (608) 743-2406

The enumeration date for this NPI number is 8/22/2007 and was last updated on 12/18/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)10097IOWANo
2101YA0400XCounselorAddiction (Substance Use Disorder)15750WISCONSINNo
3106H00000XMarriage & Family Therapist000347IOWANo
4106H00000XMarriage & Family Therapist903WISCONSINYes
5106H00000XMarriage & Family Therapist166000869ILLINOISNo

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: 5/5/2024

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