LIGHT BRIDGE COUNSELING GROUP LLC
NPI 1770446312
Counselor - Mental Health in Coconut Creek, FL
About Light Bridge Counseling Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHT BRIDGE COUNSELING GROUP LLC (NPI 1770446312) is a healthcare organization registered as a mental health in Coconut Creek, Florida and active in the NPI registry since December 2025. The organization lists Gavin Vanderwal Malcolm, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Light Bridge Counseling Group LLC's NPI number?
The NPI number for Light Bridge Counseling Group LLC is 1770446312. It was assigned to this organization in the NPPES registry on December 9, 2025.
Where is Light Bridge Counseling Group LLC located?
Light Bridge Counseling Group LLC is located at 3238 NW 47th Ave, Coconut Creek, FL 33063. The listed phone number is (954) 205-6773.
What is Light Bridge Counseling Group LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Light Bridge Counseling Group LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Light Bridge Counseling Group Llc · NPI 1770446312
Mental Health organization in Coconut Creek, Florida. Organization record, active in the CMS NPPES registry since December 9, 2025.
## Identity
- **NPI:** 1770446312 (Entity type: Organization)
- **Enumerated:** December 9, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Gavin Malcolm, OWNER
## Practice location
- **Address:** 3238 NW 47TH AVE, Coconut Creek, FL 33063-1800
- **Phone:** (954) 205-6773
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770446312) · Data from the CMS NPPES public registry.