Individual provider · Type 1 NPI
Lisa Lyn Hargrove, LCMHC, LCAS
Professional Counselor · Wake Forest, NC
NPI number
1376990887
Active
Practice location
235 Sugar Maple Ave
Wake Forest, NC 27587-2280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21906 (NC) |
| Mental Health Counselor | 101YM0800X | 068.0135520TELE (VT) |
| Professional Counselor Primary | 101YP2500X | 12065 (NC) |
Professional Counselor: Definition to come...
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About NPI 1376990887
Lisa Lyn Hargrove, LCMHC, LCAS's National Provider Identifier is 1376990887, issued on May 16, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wake Forest, NC. The record was last updated on Jul 2, 2025.