MEDICARE: MS. LISA FAWN MITCHELL LCPC

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	LC1005	MD

General Provider Information

NPI Number	:	1932361581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA FAWN MITCHELL LCPC

Provider Business Mailing Address
First Line	:	2545 LITTLE VISTA TER
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1568
Country	:	US
Telephone Number	:	240-498-9089
Fax Number	:	301-738-9901

Provider Business Practice Location Address
First Line	:	2545 LITTLE VISTA TER
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1568
Country	:	US
Telephone Number	:	240-498-9089
Fax Number	:	301-738-9901

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

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	10/15/2024

Similar Medicare Providers

1770303638 — LISA F. MITCHELL, LCPC, LLC
Practice Location Address:

2545 LITTLE VISTA TER
OLNEY, MD
20832-1568

Practice Phone: 240-498-9089
Practice Fax: 301-738-9902

1104787217 — LISA F MITCHELL LCPC LLC
Practice Location Address:

2545 LITTLE VISTA TER
OLNEY, MD
20832-1568

Practice Phone: 240-498-9089
Practice Fax:

1912841636 — MEKDEM BISRAT MD,MPH
Practice Location Address:

14 MORNINGWOOD CT
OLNEY, MD
20832-2825

Practice Phone: 240-425-2256
Practice Fax:

1053404491 — OLNEY PROFESSIONAL PHARMACY INC
Practice Location Address:

18111 PRINCE PHILIP DR STE 100
OLNEY, MD
20832-1503

Practice Phone: 301-774-9812
Practice Fax: 301-774-9813

1821850587 — PRIVIA MEDICAL GROUP, LLC
Practice Location Address:

18121 GEORGIA AVE STE 103
OLNEY, MD
20832-1437

Practice Phone: 301-933-5050
Practice Fax:

1710749478 — PRIVIA MEDICAL GROUP, LLC
Practice Location Address:

18111 PRINCE PHILIP DR STE 121
OLNEY, MD
20832-1503

Practice Phone: 301-591-8261
Practice Fax:

Directions to “ MS. LISA FAWN MITCHELL LCPC” 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.