MEDICARE: OLD TOWN PSYCHOTHERAPY

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1043898935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLD TOWN PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	218 N LEE ST STE 201
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2631
Country	:	US
Telephone Number	:	831-236-5801
Fax Number	:	703-842-8135

Provider Business Practice Location Address
First Line	:	218 N LEE ST STE 201
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2631
Country	:	US
Telephone Number	:	831-236-5801
Fax Number	:	703-842-8135

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	CHRISTINA MADSEN FISHBACK
Credential	:	LCSW
Telephone Number	:	831-236-5801

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	03/31/2021

Similar Medicare Providers

1821576547 — CHRISTINA MADSEN FISHBACK LCSW
Practice Location Address:

218 N LEE ST STE 201
ALEXANDRIA, VA
22314-2631

Practice Phone: 831-236-5801
Practice Fax: 703-842-8135

1871059048 — MS. ROBIN JOSEPH LPC
Practice Location Address:

218 N LEE ST FL 3
ALEXANDRIA, VA
22314-2631

Practice Phone: 571-572-9526
Practice Fax: 571-234-6699

1891390126 — TURNING POINT WELLNESS & COUNSELING SERVICES LLC
Practice Location Address:

218 N LEE ST FL 3
ALEXANDRIA, VA
22314-2631

Practice Phone: 571-572-9526
Practice Fax: 571-234-6699

1669192787 — AMBERNECIA COOKSEY
Practice Location Address:

218 N LEE ST FL 3
ALEXANDRIA, VA
22314-2631

Practice Phone: 985-507-6763
Practice Fax:

1790524437 — MELANNIEANN MICHAUD LCSW
Practice Location Address:

218 N LEE ST STE 300
ALEXANDRIA, VA
22314-2631

Practice Phone: 703-239-3357
Practice Fax:

1225994668 — GLAM OPULENCE SALON
Practice Location Address:

5607 MASONIC DR
ALEXANDRIA, LA
71301-2631

Practice Phone: 318-290-8384
Practice Fax:

Directions to “OLD TOWN PSYCHOTHERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.