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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376990887

Lisa Lyn Hargrove, LCMHC, LCAS is an Addiction (Substance Use Disorder) Counselor in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and Vermont.

Licensed in
NC, VT
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

235 Sugar Maple Ave
Wake Forest, NC 27587-2280
Phone: (919) 593-5445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12065 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 21906 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 068.0135520TELE (VT)

Record details

NPI number1376990887
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS
Sole proprietorYes
NPI enumeratedMay 16, 2016
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

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