Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Substance Abuse Solutions LLC

Organization Psychologist · NPI 1124598669

Lake Substance Abuse Solutions LLC is a Psychologist in Jeffersonville, Indiana. Works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1507 Spring St
Jeffersonville, IN 47130-2939
Phone: (833) 525-3727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 — (833) 525-3727
  • 1143 Fairway St Unit 110, Bowling Green, KY 42103-2452 — (833) 525-3727

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Psychologist Taxonomy 103T00000X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X

Record details

NPI number1124598669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Corddry — Owner · (407) 622-8086
NPI enumeratedNovember 27, 2018
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address225 W Canton Ave Ste 600, Winter Park, FL 32789-3181

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