LISA MARIE MANGO MS.
NPI 1649819699
Counselor - Mental Health in Fort Pierce, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 21, 2019

2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950(772) 489-4726 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2022, Dec 21, 2019 (2 updates tracked since 2019).

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About Lisa Marie Mango Ms. NPPES

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

LISA MARIE MANGO MS. (NPI 1649819699) is an individual mental health provider in Fort Pierce, Florida, licensed in Florida (101YM0800X) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1649819699

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLISA MARIE MANGOCredential: MS.

Location Address2222 COLONIAL RD STE 100Fort Pierce, FL 34950-5309

Mailing Address8923 Oldham WayPalm Beach Gardens, FL 33412-1110 · (561) 396-0361

Phone(772) 489-4726

Sole ProprietorYes

Enumeration DateDecember 21, 2019

Last NPPES UpdateMay 10, 20222 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1649819699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · 101YM0800X✔ Licensed in FL · CAP3115✔ Licensed · 101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CAP3115 (FL)

2222 COLONIAL RD STE 100, Fort Pierce, FL 34950

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Other Names 1

Other Name (5)Lisa Marie Schneider

Other Identifiers 1

Medicaid101YM0800XFL

Other Providers at the Same Location NPPES 19

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

CHRISTINA LEE ATKINSON MS

Counselor (Mental Health)