GREAT LAKES PSYCHOTHERAPY LLC
NPI 1114715083
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Worth Beach, FL
About Great Lakes Psychotherapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES PSYCHOTHERAPY LLC (NPI 1114715083) is a healthcare organization registered as a mental health (including community mental health center) in Lake Worth Beach, Florida and active in the NPI registry since April 2025. The organization lists Ryan Israel, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Great Lakes Psychotherapy LLC's NPI number?
The NPI number for Great Lakes Psychotherapy LLC is 1114715083. It was assigned to this organization in the NPPES registry on April 29, 2025.
Where is Great Lakes Psychotherapy LLC located?
Great Lakes Psychotherapy LLC is located at 2328 10th Ave N Ste 500, Lake Worth Beach, FL 33461. The listed phone number is (561) 318-1474.
What is Great Lakes Psychotherapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Great Lakes Psychotherapy LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Great Lakes Psychotherapy Llc · NPI 1114715083
Mental Health (Including Community Mental Health Center) organization in Lake Worth Beach, Florida. Organization record, active in the CMS NPPES registry since April 29, 2025.
## Identity
- **NPI:** 1114715083 (Entity type: Organization)
- **Enumerated:** April 29, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ryan Israel, MANAGER
## Practice location
- **Address:** 2328 10TH AVE N STE 500, Lake Worth Beach, FL 33461-6615
- **Phone:** (561) 318-1474
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114715083) · Data from the CMS NPPES public registry.