Organization · NPI-2

Lisa F Mitchell Lcpc LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Olney, MD

NPI number1104787217
StatusActive
Last updated in NPPESJan 13, 2026

Details

NPI
1104787217
Entity type
Organization (NPI-2)
Legal business name
Lisa F Mitchell Lcpc LLC
Organization subpart
No
Enumeration date
Nov 19, 2025
Certification date
Jan 13, 2026
Last updated
Jan 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2545 Little Vista Ter
Olney, MD 20832-1568

Phone 240-498-9089

Mailing address

2545 Little Vista Ter
Olney, MD 20832-1568

Phone 240-498-9089

Authorized official

Lisa Fawn Mitchell
Therapist
2404989089

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