Candace Lake Ms LMHC PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CANDACE LAKE MS LMHC PA

Practice address

1650 NE 26TH St Ste 201
Wilton Manors, FL 33305-1431

Phone

(561) 271-0681

NPI assigned

May 11, 2020

Last updated

May 11, 2020By 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

Ms. Candace Renee Lake, MSNPI 1245748763

Title

Owner

Phone

(561) 271-0681

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candace Renee Lake

  • Mental Health Counselor
  • Wellington, FL
  • NPI 1245748763
  Authorized official Same address or phone

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1669094967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 NE 15TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623611",
            "telephone_number": "561-271-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 NE 26TH ST STE 201",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051431",
            "telephone_number": "561-271-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE LAKE MS LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-271-0681",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria A. Camba, DO
• Camp 4 Health
• Katharine Marie Campbell, PH.D., L.C.S.W.
• Robert Cooper Campbell
• Anthony Campo, M.D.
• Courtney Cantrell
• Care Resource Community Health Centers, Inc
• Care Resource Community Health Centers, Inc (Care Resource Pharmacy Oakland Park)
• Care Resource Community Health Centers, Inc (Care Resource Community Health Centers, Inc-Mobile Unit 1)
• Karen Patricia Carroll, OPTICIAN

• Community/Behavioral Health Agency in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.