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

Mara's Lighthouse Counseling Center, LLC

Organization Clinical Social Worker · NPI 1407478613

Mara's Lighthouse Counseling Center, LLC is a Clinical Social Worker in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

12086 Fort Caroline Rd Ste 201
Jacksonville, FL 32225-2689
Phone: (904) 990-8105
Fax: (904) 562-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 Kingsley Ave Ste 212214, Orange Park, FL 32073-5685 — (904) 990-8105

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1407478613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex De Guzman — Office Manager · (904) 990-8105
NPI enumeratedMay 11, 2020
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address12086 Fort Caroline Rd Ste 201, Jacksonville, FL 32225-2689

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