Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MARA'S LIGHTHOUSE COUNSELING CENTER, LLC
Active
Organization
MARA'S LIGHTHOUSE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX DE GUZMAN (OFFICE MANAGER)
(904) 990-8105
Entity
Organization
Contact information
Practice address
12086 FORT CAROLINE RD STE 201, JACKSONVILLE, FL 32225-2689
(904) 990-8105
(904) 562-3359
Mailing address
12086 FORT CAROLINE RD STE 201, JACKSONVILLE, FL 32225-2689
(904) 990-8105
(904) 562-3359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
11/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up