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AUTUMN LEIGH LAKE
NPI 1437738374
Student in an Organized Health Care Education/Training Program in Oconto Falls, WI

Active since April 07, 2021
4340 ELM LAWN RD, OCONTO FALLS, WI 54154(920) 944-9373 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Autumn Leigh Lake NPPES

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

AUTUMN LEIGH LAKE (NPI 1437738374) is an individual student in an organized health care education/training program in Oconto Falls, Wisconsin and active in the NPI registry since April 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437738374
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUTUMN LEIGH LAKE
Location Address4340 ELM LAWN RDOconto Falls, WI 54154-9656
Mailing Address4340 Elm Lawn RdOconto Falls, WI 54154-9656 · (715) 330-1773 · Fax (920) 260-2023
Phone(920) 944-9373
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1437738374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior AnalystTaxonomy 103K00000X · License RBT21159367 (TX)
4340 ELM LAWN RD, Oconto Falls, WI 54154
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Secondary Practice Locations 2

Location 11504 Thomas StMarinette, WI 54143-2332 · Phone (715) 330-1773
Location 2718 Hall Hay StCrivitz, WI 54114-1673 · Phone (920) 260-2023

Other Providers at the Same Location NPPES 4

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

ABBY HUNTLEY PHD, LPC, NCC
Counselor (Professional)
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 264-7845
CASSIDY MICHAEL SALM LPC, SAC-IT
Counselor (Professional)
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 944-9373
OAK RIDGE COUNSELING & CONSULTING LLC
Community/Behavioral Health
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 264-7845
ANGEL LYNN ANDERSON CSAC, LPC
Counselor (Professional)
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 370-7676

Frequently Asked Questions

What is Autumn Lake's NPI number?

The NPI number assigned to this healthcare provider is 1437738374, enumerated as an "individual" on April 07, 2021.

Where is the provider located?

The provider is located at 4340 ELM LAWN RD OCONTO FALLS, WI 54154 and the phone number is (920) 944-9373.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.