Organization · Type 2 NPI
Great Lakes Psychotherapy LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Lake Worth Beach, FL
NPI number
1114715083
Active
Practice location
2328 10th Ave N Ste 500
Lake Worth Beach, FL 33461-6615
Mailing address
5640 W Maple Rd Ste 101
West Bloomfield, MI 48322-3717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1114715083
Great Lakes Psychotherapy LLC's National Provider Identifier is 1114715083, issued on Apr 29, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lake Worth Beach, FL. The record was last updated on Jun 9, 2025.