Mary Kathleen Lichtenwalter is a Port Orange, Florida based counselor who is specialized as Mental Health Counselor. Active license number of Mary Kathleen Lichtenwalter is MH10712 for Mental Health Counselor in Florida. Her current practice location is 1730 Dunlawton Ave, Suite #3, Port Orange. Patients can book an appointment with her at 386-957-3905.
Mary Kathleen Lichtenwalter is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mary Kathleen Lichtenwalter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mary Kathleen Lichtenwalter
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LMHC, CAP, CCS
Accepts Medicare Assignment:
No
Practice Address:
1730 Dunlawton Ave, Suite #3, Port Orange, Florida, 32127-8985
Phone:
386-957-3905
Fax:
386-402-8992
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1326104001
NPI Enumeration Date:
28 Dec, 2006
NPI Last Update On:
18 Dec, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Kathleen Lichtenwalter are as mentioned below.
License Number
Specialization
State
Status
MH10712
Mental Health Counselor
Florida
Primary
39001980A
Mental Health Counselor
Indiana
Secondary
LCAC 870056A
Addiction (Substance Use Disorder) Counselor
Indiana
Secondary
CAP 5276
Addiction (Substance Use Disorder) Counselor
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Kathleen Lichtenwalter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200196900A
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1730 Dunlawton Ave, Suite#3 Port Orange, Florida
Zip:
32127-8985
Phone Number:
386-957-3905
Fax Number:
386-402-8992
Patients can reach Mary Kathleen Lichtenwalter at 1730 Dunlawton Ave, Suite #3, Port Orange, Florida or can call to book an appointment on 386-957-3905. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.