Florida Lighthouse Counseling Center Limited Liability Company

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FLORIDA LIGHTHOUSE COUNSELING CENTER LIMITED LIABILITY COMPANY

Practice address

3333 Port Royale Dr S FL USA
Fort Lauderdale, FL 33308-7887

Phone

(786) 281-7681

Fax

(877) 296-5859

NPI assigned

Dec 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Dente, LCSW

Title

Director

Phone

(786) 281-7681

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Florida Lighthouse Counseling Center Doing business as

Electronic endpoints 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1003575911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "786-281-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 PORT ROYALE DR S FL USA",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087887",
            "telephone_number": "786-281-7681",
            "fax_number": "877-296-5859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43000 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483754175",
            "country_code": "US",
            "telephone_number": "786-281-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA LIGHTHOUSE COUNSELING CENTER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "DENTE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-281-7681",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107630000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdente@fllighthousecc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7901 4th St N Ste 300",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdente@fllighthousecc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7901 4th St N Ste 300",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdente@fllighthousecc.com",
            "affiliation": "N",
            "address_1": "3333 Port Royale Dr S Fl USA",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333087887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Florida Lighthouse Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Lighthouse Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.