Mary Kathleen Lichtenwalter
LMHC, CAP, CCS | Addiction (Substance Use Disorder) Counselor
3930 S Nova Rd Ste 307, Port Orange
Florida, 32127-9293
386-795-7996 Maps & DirectionsMary Kathleen Lichtenwalter is a Port Orange, Florida based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mary Kathleen Lichtenwalter is MH10712 for Mental Health Counselor in Florida. Her current practice location is 3930 S Nova Rd Ste 307, Port Orange. Patients can book an appointment with her at 386-795-7996.
Mary Kathleen Lichtenwalter is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
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: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | LMHC, CAP, CCS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3930 S Nova Rd Ste 307, Port Orange,
Florida, 32127-9293 |
| Phone: | 386-795-7996 |
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: | 15 Oct, 2025 |
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 | |
| LCAC 870056A | Addiction (Substance Use Disorder) Counselor | Indiana | Secondary | |
| 39001980A | Mental Health 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: | 1910 Marilyn St,
Daytona Beach, Florida |
| Zip: | 32118-5123 |
| Phone Number: | 386-795-7996 |
Patients can reach Mary Kathleen Lichtenwalter at
3930 S Nova Rd Ste 307, Port Orange, Florida or can
call to book an appointment on 386-795-7996.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.