Organization
LAKE FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ANDREW LAKE LCMFT, SCC-C (OWNER)
(863) 843-9277
Entity
Organization
Contact information
Practice address
4461 BUCKINGHAM RD, FORT MYERS, FL 33905-7221
(863) 843-9277
Mailing address
4461 BUCKINGHAM RD, FORT MYERS, FL 33905-7221
(863) 843-9277
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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