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

Mr. Michael H Lake Jr., LMHC

Individual provider Social Worker · NPI 1265596035

Mr. Michael H Lake Jr., LMHC is a Social Worker in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

4450 Eau Gallie Blvd Ste 200
Melbourne, FL 32934-7214
Phone: (321) 726-2860
Fax: (321) 752-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH8204 (FL)
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence MH8204 (FL)

Record details

NPI number1265596035
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESSeptember 25, 2018

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