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

Lake Family Counseling, LLC

Organization Pastoral Counselor · NPI 1174499735

Lake Family Counseling, LLC is a Pastoral Counselor 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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