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Lake Substance Abuse Solutions LLC

Psychiatric/Mental Health Nurse Practitioner in Jeffersonville, IN · enumerated 2018 · authorized official David Corddry, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124598669

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Substance Abuse Solutions LLC
Practice address 1507 Spring St, Jeffersonville, IN, 47130
Phone (833) 525-3727
Enumeration date Nov 27, 2018
Last updated in NPPES Sep 2, 2025

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers Secondary
163WA0400X Addiction (Substance Use Disorder) Registered Nurse Nursing Service Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name David Corddry
Title Owner
Phone (407) 622-8086

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Substance Abuse Solutions LLC?
NPPES lists David Corddry (Owner) as the authorized official for this organization.
What is the NPI number for Lake Substance Abuse Solutions LLC?
The NPI for Lake Substance Abuse Solutions LLC is 1124598669, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-02.