Organization Active NPI

The Lakes Behavioral Health, LLC

  • Substance Abuse Rehabilitation Facility
  • Lakeland, FL
National Provider Identifier
1245186154
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE LAKES BEHAVIORAL HEALTH, LLC
Practice address
420 W Magnolia St
Lakeland, FL 33815-0001
Phone
(225) 936-5954
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cory Bickham, LCDCNPI 1518580570
Title
Executive Director
Phone
(225) 936-5954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

420 W Magnolia St
Lakeland, FL 33815-0001

Mailing address

420 W Magnolia St
Lakeland, FL 33815-0001
Phone (225) 936-5954

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2341998The Lakes Behavioral Health LLC420 W Magnolia Street #1, Lakeland, FL 33815Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

420 W Magnolia St
Lakeland, FL 33815
Phone (225) 936-5954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1245186154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MAGNOLIA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338150001",
            "telephone_number": "225-936-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAGNOLIA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338150001",
            "telephone_number": "225-936-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BICKHAM",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-936-5954",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.