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

Lisa Braswell

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1467165928

Lisa Braswell is an Emotionally Disturbed Childrens' Residential Treatment Facility in Wake Forest, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

1033 Hazelmist Dr
Wake Forest, NC 27587-9254
Phone: (984) 292-4515
Show map & directions

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

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X

Record details

NPI number1467165928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2022
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022
Mailing address6330 Falls Of Neuse Rd Ste 106b, Raleigh, NC 27615-6810