Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Fedewa

Individual provider Counselor · NPI 1265776454

Lisa Fedewa is a Counselor in Daytona Beach, Florida. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

259 Bill France Blvd Ste 200
Daytona Beach, FL 32114-1316
Phone: (904) 586-6560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1265776454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2012
Last updated in NPPESAugust 5, 2014
Mailing address1955 Leap Frog Ln, Middleburg, FL 32068-9095

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