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

Lawrence Allen Bacon, LCASA, LCMHCA

Individual provider Professional Counselor · NPI 1376211193

Lawrence Allen Bacon, LCASA, LCMHCA is a Professional Counselor in Kernersville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

229 Century Blvd Apt 47A
Kernersville, NC 27284-4038
Phone: (336) 257-9384
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 16961 (NC)

Record details

NPI number1376211193
Entity typeIndividual (Type 1)
GenderMale
Credentials LCASA , LCMHCA
Sole proprietorYes
NPI enumeratedSeptember 6, 2021
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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