Great Lakes Psychotherapy LLC
NPI #1114715083 in Lake Worth Beach, Florida
Provider Information
- NPI Number
- 1114715083
- Entity Type
- Organization
- Organization Name
- Great Lakes Psychotherapy LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 29, 2025
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 2328 10TH AVE N STE 500
- City
- Lake Worth Beach
- State
- Florida
- ZIP Code
- 33461-6615
- Phone
- (561) 318-1474
Authorized Official
- Name
- RYAN ISRAEL
- Title
- MANAGER
- Phone
- (561) 318-1474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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