Organization
LIGHTHOUSE ADDICTION SERVICES
Active
Parent organization
HARBOR COUNSELING AND LIGHTHOUSE ADDICTION SERVICES
Other names
Harbor Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBOR COUNSELING AND LIGHTHOUSE ADDICTION SERVICES
Authorized official
MR. FREDERICK WILLIAM, CARL ROPKE IV MA, LMHC (PRESIDENT / COUNSELOR)
(941) 255-5900
Entity
Organization
Contact information
Practice address
3596 TAMIAMI TRL, SUITE 205, PORT CHARLOTTE, FL 33952-8263
(941) 255-5900
(941) 764-8285
Mailing address
3596 TAMIAMI TRL STE 205, PORT CHARLOTTE, FL 33952-8252
(941) 255-5900
(941) 764-8285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2008AD0345-00
FL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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