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

Lake Substance Abuse Solutions LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1629900444

Lake Substance Abuse Solutions LLC is a Psychiatric/Mental Health Nurse Practitioner in Bowling Green, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
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

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone: (812) 901-6881
Fax: (812) 285-8392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1629900444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Corddry — Owner · (407) 622-8086
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1143 Fairway St Ste 103, Bowling Green, KY 42103-2452

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