# LIGHTHOUSE ADDICTION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HARBOR COUNSELING AND LIGHTHOUSE ADDICTION SERVICES
- **Other names:** Harbor Counseling
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639408263
- **Legal business name:** HARBOR COUNSELING AND LIGHTHOUSE ADDICTION SERVICES
- **Authorized official:** MR. FREDERICK WILLIAM, CARL ROPKE IV MA, LMHC (PRESIDENT / COUNSELOR)
- **Authorized official phone:** (941) 255-5900

## Contact information

- **Practice address:** 3596 TAMIAMI TRL, SUITE 205, PORT CHARLOTTE, FL 33952-8263
- **Practice address phone:** (941) 255-5900
- **Practice address fax:** (941) 764-8285
- **Mailing address:** 3596 TAMIAMI TRL STE 205, PORT CHARLOTTE, FL 33952-8252
- **Mailing address phone:** (941) 255-5900
- **Mailing address fax:** (941) 764-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2008AD0345-00 | FL | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009