Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Psychotherapy LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1114715083

Great Lakes Psychotherapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Worth Beach, 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.

See every abbreviation used in this directory →

Practice location Address checks out

2328 10th Ave N Ste 500
Lake Worth Beach, FL 33461-6615
Phone: (561) 318-1474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1114715083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Israel — Manager · (561) 318-1474
NPI enumeratedApril 29, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address5640 W Maple Rd Ste 101, W Bloomfield, MI 48322-3717