1. Home
  2. Directory
  3. Florida
  4. Daytona Beach
  5. Counselor
  6. NPI Profile

LISA FEDEWA
NPI 1265776454
Counselor in Daytona Beach, FL

Active since November 12, 2012
259 BILL FRANCE BLVD, SUITE 200, DAYTONA BEACH, FL 32114(904) 586-6560 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Fedewa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA FEDEWA (NPI 1265776454) is an individual counselor in Daytona Beach, Florida and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1265776454
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA FEDEWA
Location Address259 BILL FRANCE BLVD, SUITE 200Daytona Beach, FL 32114-1316
Mailing Address1955 Leap Frog LnMiddleburg, FL 32068-9095
Phone(904) 586-6560
Sole ProprietorNo
Enumeration DateNovember 12, 2012
Last NPPES UpdateAugust 5, 2014
✔ NPI 1265776454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

259 BILL FRANCE BLVD, Daytona Beach, FL 32114
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A HELPING HAND INC
Case Management
259 BILL FRANCE BLVD, SUITE 200
DAYTONA BEACH, FL 32114
Volusia County (386) 868-1992
TRACY LONG RN, BSN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
259 BILL FRANCE BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 868-1992
EDEN STAR
Counselor
259 BILL FRANCE BLVD, SUITE 200
DAYTONA BEACH, FL 32114
Volusia County (386) 206-8071
KARAN CRAWFORD LPN
Licensed Practical Nurse
259 BILL FRANCE BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 868-1992
IVELISSE YADIRA CANCEL
Case Manager/Care Coordinator
259 BILL FRANCE BLVD, SUITE 200
DAYTONA BEACH, FL 32114
Volusia County (484) 885-9335
BRANDY NICHOLE HOUSE
Case Manager/Care Coordinator
259 BILL FRANCE BLVD, SUITE 200
DAYTONA BEACH, FL 32114
Volusia County (386) 500-1641
MICHELLE ANN BROWN LCSW
Social Worker (Clinical)
259 BILL FRANCE BLVD, SUITE 200
DAYTONA BEACH, FL 32114
Volusia County (386) 868-1978
MRS. DEIDRA CHANTEL OLIVER M.S.
Case Manager/Care Coordinator
259 BILL FRANCE BLVD, SUITE 200
DAYTONA BEACH, FL 32114
Volusia County (386) 479-5585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fedewa's NPI number?

The NPI number for Lisa Fedewa is 1265776454. It was assigned to this individual provider in the NPPES registry on November 12, 2012.

Where is Lisa Fedewa located?

Lisa Fedewa practices at 259 Bill France Blvd Suite 200, Daytona Beach, FL 32114. The listed phone number is (904) 586-6560.

What is Lisa Fedewa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lisa Fedewa was last updated on August 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.