Neural function within the medial prefrontal cortex (mPFC) regulates normal cognition, attention and impulse control, implicating neuroregulatory abnormalities within this region in mental dysfunction related to schizophrenia, depression and drug abuse. Both serotonin-2A (5-HT 2A ) and -2C (5-HT 2C ) receptors are known to be important in neuropsychiatric drug action and are distributed throughout the mPFC. However, their interactive role in serotonergic cortical regulation is poorly understood. While the main signal transduction mechanism for both receptors is stimulation of phosphoinositide production, they can have opposite effects downstream. 5-HT 2A versus 5-HT 2C receptor activation oppositely regulates behavior and can oppositely affect neurochemical release within the mPFC. These distinct receptor effects could be caused by their differential cellular distribution within the cortex and/or other areas. It is known that both receptors are located on GABAergic and pyramidal cells within the mPFC, but it is not clear whether they are expressed on the same or different cells. The present work employed immunofluorescence with confocal microscopy to examine this in layers V–VI of the prelimbic mPFC. The majority of GABA cells in the deep prelimbic mPFC expressed 5-HT 2C receptor immunoreactivity. Furthermore, most cells expressing 5-HT 2C receptor immunoreactivity notably co-expressed 5-HT 2A receptors. However, 27% of 5-HT 2C receptor immunoreactive cells were not GABAergic, indicating that a population of prelimbic pyramidal projection cells could express the 5-HT 2C receptor. Indeed, some cells with 5-HT 2C and 5-HT 2A receptor co-labeling had a pyramidal shape and were expressed in the typical layered fashion of pyramidal cells. This indirectly demonstrates that 5-HT 2C and 5-HT 2A receptors may be commonly co-expressed on GABAergic cells within the deep layers of the prelimbic mPFC and perhaps co-localized on a small population of local pyramidal projection cells. Thus a complex interplay of cortical 5-HT 2A and 5-HT 2C receptor mechanisms exists, which if altered, could modulate efferent brain systems implicated in mental illness.