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

Lisa Wagoner Hairston, LCMHC

Individual provider Mental Health Counselor · NPI 1821405952

Lisa Wagoner Hairston, LCMHC is a Mental Health Counselor in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
Specialties on file
3

Practice location Address checks out

2255 Lewisville Clemmons Rd Ste E
Clemmons, NC 27012-7460
Phone: (336) 766-0505
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10908 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 10908 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1821405952
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

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