Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corey Lake, CDCA, PRS-HS

Individual provider Case Manager/Care Coordinator · NPI 1467220392

Corey Lake, CDCA, PRS-HS is a Case Manager/Care Coordinator in Circleville, Ohio. Works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone: (740) 500-1391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1875 Stoneridge Dr, Circleville, OH 43113-8956 — (740) 500-1391
  • 1235 S Court St, Circleville, OH 43113-2108 — (740) 500-1391

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.192016 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.004709 (OH)

Record details

NPI number1467220392
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , PRS-HS
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address2065 Stoneridge Dr, Circleville, OH 43113-8956

Other providers in Circleville