Eric S Lake is a Grand Rapids, Michigan based psychologist who is specialized in Psychology. Active license number of Eric S Lake is 6361002966 for Counseling Psychology in Michigan. His current practice location is 235 Wealthy St Se, Grand Rapids. Patients can reach him at 616-840-8000 or can fax him at 616-840-9771. Eric S Lake is MA,LLP, CADC in Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1053644377.
Eric S Lake is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Eric S Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Eric S Lake |
| Specialization: | Psychology |
| Gender: | Male |
| Credentials: | MA,LLP, CADC |
| Practice Address: | 235 Wealthy St Se, Grand Rapids,
Michigan, 49503-5247 |
| Phone: | 616-840-8000 |
| Fax: | 616-840-9771 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053644377 |
| NPI Enumeration Date: | 18 Sep, 2009 |
| NPI Last Update On: | 06 Mar, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eric S Lake are as mentioned below.
| License Number | Specialization | State | Status | |
| 6361002966 | Counseling Psychology | Michigan | Primary | |
| 8952 | Counselor | Nebraska | Secondary | |
| 121 | Counselor | Nebraska | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Eric S Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 47082303526 | Medicaid | Nebraska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eric S Lake
235 Wealthy St Se,
Grand Rapids, Michigan |
| Zip: | 49503-5247 |
| Phone Number: | 616-840-8000 |
| Fax Number: | 616-840-9771 |
Patients can reach Eric S Lake at
235 Wealthy St Se, Grand Rapids, Michigan or can
call to book an appointment on 616-840-8000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.