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

Michele Victoria Douglass, LCSWA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720873433

Michele Victoria Douglass, LCSWA, LCASA is an Addiction (Substance Use Disorder) Counselor in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1740 Heritage Center Dr Ste 201
Wake Forest, NC 27587-9849
Phone: (919) 556-6501
Fax: (919) 556-4933
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PO21653 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-30416 (NC)

Record details

NPI number1720873433
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , LCASA
Sole proprietorNo
NPI enumeratedApril 12, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Other providers in Wake Forest