Lake House Academy

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

LAKE HOUSE ACADEMY

Practice address

447 Lilly Pad LN
Flat Rock, NC 28731-9503

Phone

(828) 355-4595

NPI assigned

Oct 16, 2013

Last updated

Oct 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Laney

Title

Executive Director

Phone

(828) 355-4595

Specialties & licenses 1

Addresses

Tax ID family

Innerchange Lake House Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innerchange Lake House Academy

  • Student in an Organized Health Care Education/Training Program
  • Flat Rock, NC
  • NPI 1700234929
  NPD tax ID

Locations

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1245668946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 LILLY PAD LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319503",
            "telephone_number": "828-355-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 LILLY PAD LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319503",
            "telephone_number": "828-355-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HOUSE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-355-4595"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ardell Keller, FNP
• Kathryn Marie Keller, FNP
• Don Randall Killian Jr., M.S., LPCA
• Jordan King
• Barbara A Kovaz, PHD
• Heather Marie Landreth, MSN, APRN, FNP-C
• Christine Ellsworth Lau, RN, LCSW
• Carolyn F Lawton, LPC
• Anne Marie Jay Lester, LPC
• Deborah Kay Lloyd, LCSW

• Psychiatric Residential Treatment Facility in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Psychiatric Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.