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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY KATHLEEN LICHTENWALTER, LMHC, CAP, CCS

Active Sole Proprietor

MARY KATHLEEN LICHTENWALTER, LMHC, CAP, CCS is a Mental Health Counselor healthcare provider located in PORT ORANGE, Florida. NPI 1326104001 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PORT ORANGE, FL

Registration Details

NPI Number
1326104001
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2006 (19.601715103402 yrs)
Last Updated
Oct 15, 2025
Licenses
LCAC 870056A (IN)
39001980A (IN)
CAP 5276 (FL)
MH10712 (FL)
Sole Proprietor
Yes

Practice Information

Address
3930 S NOVA RD STE 307
PORT ORANGE, FL, 321279293
Browse FL providers · Browse ZIP 32127
Phone
3867957996
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in PORT ORANGE, FL

Name Credential NPI
MS. CONCETTA TINA A POMROY M.A. 1841223898
KATHERINE SCHROEDER 1477741395
MS. BONNIE STEPHENSON LMHC 1811122583
MRS. EDNA LIPPI BROWN L.M.H.C. 1811203359
MS. ABBIE CONRAD JAMES LMHC 1356630677
MR. SCOTTIE MILLER MS 1366735524
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.