Lisa Marie Mango is a Fort Pierce, Florida based counselor who is specialized as Mental Health Counselor. Active license number of Lisa Marie Mango is 101YM0800X for Mental Health Counselor in Florida. Her current practice location is 2222 Colonial Rd Ste 100, Fort Pierce. Patients can book an appointment with her at 772-489-4726.
Lisa Marie Mango is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Lisa Marie Mango speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Lisa Marie Mango
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
MS.
Accepts Medicare Assignment:
No
Practice Address:
2222 Colonial Rd Ste 100, Fort Pierce, Florida, 34950-5309
Phone:
772-489-4726
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1649819699
NPI Enumeration Date:
21 Dec, 2019
NPI Last Update On:
10 May, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Marie Mango are as mentioned below.
License Number
Specialization
State
Status
101YM0800X
Mental Health Counselor
Florida
Primary
CAP3115
Mental Health Counselor
Florida
Secondary
CAP3115
Addiction (Substance Use Disorder) Counselor
Florida
Secondary
101YM0800X
Mental Health Counselor
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Marie Mango such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
101YM0800X
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8923 Oldham Way, Palm Beach Gardens, Florida
Zip:
33412-1110
Phone Number:
561-396-0361
Patients can reach Lisa Marie Mango at 2222 Colonial Rd Ste 100, Fort Pierce, Florida or can call to book an appointment on 772-489-4726. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.