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LAKE PARK
NPI 1578756334
Community/Behavioral Health in Tucson, AZ

Active since August 23, 2007
2114 W GRANT RD, 24, TUCSON, AZ 85745(520) 365-2025(520) 365-2027 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Park NPPES

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

LAKE PARK (NPI 1578756334) is a healthcare organization registered as a community/behavioral health in Tucson, Arizona and active in the NPI registry since August 2007. The organization lists Miriam Cosey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578756334
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLAKE PARK GROUP, LLC
Location Address2114 W GRANT RD, 24Tucson, AZ 85745-1141
Mailing Address2114 W Grant Rd, 24Tucson, AZ 85745-1141 · (520) 365-2025 · Fax (520) 365-2027
Phone(520) 365-2025
Fax(520) 365-2027
Organization SubpartNo
Authorized OfficialMiriam CoseyAdministrator · (520) 262-5583
Enumeration DateAugust 23, 2007
Last NPPES UpdateMarch 14, 2014
✔ NPI 1578756334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
2114 W GRANT RD, Tucson, AZ 85745
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Other Names 1

Doing Business AsLake Park

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 Lake Park Group, LLC's NPI number?

The NPI number for Lake Park Group, LLC is 1578756334. It was assigned to this organization in the NPPES registry on August 23, 2007. The provider is doing business as Lake Park.

Where is Lake Park Group, LLC located?

Lake Park Group, LLC is located at 2114 W Grant Rd 24, Tucson, AZ 85745. The listed phone number is (520) 365-2025.

What is Lake Park Group, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lake Park Group, LLC was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.