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LAD LAKE, INC.
NPI 1114196854
Residential Treatment Facility, Emotionally Disturbed Children in Dousman, WI

Active since February 27, 2008
W350S1401 WATERVILLE RD, DOUSMAN, WI 53118(262) 965-2131 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lad Lake, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAD LAKE, INC. (NPI 1114196854) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Dousman, Wisconsin and active in the NPI registry since February 2008. The organization lists Gary L Erdmann, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114196854
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLAD LAKE, INC.
Location AddressW350S1401 WATERVILLE RDDousman, WI 53118-9020
Mailing AddressW350s1401 Waterville RdDousman, WI 53118-9020 · (262) 965-2131
Phone(262) 965-2131
Organization SubpartNo
Authorized OfficialGary L ErdmannExecutive Director · (262) 965-2131
Enumeration DateFebruary 27, 2008
✔ NPI 1114196854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in WI · 265001
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License NONE (WI)
W350S1401 WATERVILLE RD, Dousman, WI 53118
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE VOHWINKLE LCSW
Social Worker (Clinical)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (262) 965-2131
MR. DENNIS JAMES NEUENFELDT LCSW, LMFT
Social Worker (Clinical)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (262) 965-9457
MARY BACHMAN RN
Registered Nurse
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (262) 965-2131
MARALETA SWENSON
Social Worker (Clinical)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (262) 965-2131
EDWARD MICHAEL SMITH LPC-IT
Counselor (Mental Health)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (920) 253-1862
REBECCA BARNES APNP
Nurse Practitioner (Psychiatric/Mental Health)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (262) 965-9428
STEVE ELLMANN
Psychologist (Rehabilitation)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Waukesha County (262) 965-2131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lad Lake, Inc.'s NPI number?

The NPI number for Lad Lake, Inc. is 1114196854. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Lad Lake, Inc. located?

Lad Lake, Inc. is located at W350s1401 Waterville Rd, Dousman, WI 53118. The listed phone number is (262) 965-2131.

What is Lad Lake, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Lad Lake, Inc. was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.