MEDICARE: ROBERT LICHTENTHAL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH15572	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639553811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LICHTENTHAL LMHC

Provider Business Mailing Address
First Line	:	1910 W PICKETT CT
Second Line	:
City	:	HERNANDO
State	:	FL
Zip	:	34442-3244
Country	:	US
Telephone Number	:	352-697-5942
Fax Number	:	352-228-8901

Provider Business Practice Location Address
First Line	:	3402 N LECANTO HWY STE B
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3570
Country	:	US
Telephone Number	:	352-697-5942
Fax Number	:	352-270-8311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2015
Last Update Date	:	11/15/2025

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Directions to “ ROBERT LICHTENTHAL LMHC” Practice Location

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