Individual provider · Type 1 NPI

Carlissa April Fennell, LPC

Mental Health Counselor · Richmond, VA

NPI number 1053115485 Active

Practice location

PO Box 34
Richmond, VA 23218-0034

Call (336) 682-0041 Map

Mailing address

700 E Main St Unit 2487
Richmond, VA 23218-2692

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704015091 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1053115485

Carlissa April Fennell, LPC's National Provider Identifier is 1053115485, issued on Apr 3, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, VA. The record was last updated on Oct 29, 2026.