OrganizationActive
Village Lake
NPI 1326897067 · Adult Mental Health Clinic/Center · Ks, KS
Provider details
- NPI number
- 1326897067
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anaidy Claudio Rosa, Therapist(316) 284-7730
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
345 Riverview St. #730
Wichita
Ks, KS 67203
Phone: (316) 395-2886
Approximate (ZIP-level) locationGet directions
Mailing address
265 W Village Lake Dr
Derby, KS 67037-2612
Other names (DBA / former)
- Doing business as
- Village Lake Counseling
- Doing business as
- Village Lake Counseling
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-12-12
- Certified
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.