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

Mr. Lyle R Fried, CAP, ICADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164175121

Mr. Lyle R Fried, CAP, ICADC is an Addiction (Substance Use Disorder) Counselor in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

5785 NW Wesley Rd
Port Saint Lucie, FL 34986-4207
Phone: (772) 332-8711
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4805 (FL)

Record details

NPI number1164175121
Entity typeIndividual (Type 1)
GenderMale
Credentials CAP , ICADC
Sole proprietorYes
NPI enumeratedJanuary 31, 2022
Last updated in NPPESMarch 12, 2022
Certification dateMarch 12, 2022

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