Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Family Counseling, LLC

Organization Pastoral Counselor · NPI 1174499735

Lake Family Counseling, LLC provides Pastoral Counselor services in Fort Myers, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4461 Buckingham Rd
Fort Myers, FL 33905-7221
Phone: (863) 843-9277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X

Record details

NPI number1174499735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Lake — Owner · (863) 843-9277
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address4461 Buckingham Rd, Fort Myers, FL 33905-7221

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