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

Mindy M Lake

Individual provider Developmental Therapist · NPI 1518737873

Mindy M Lake is a Developmental Therapist in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1943
Phone: (260) 338-1241
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1518737873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 6, 2024
Mailing address4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943

Other providers in Fort Wayne