LISA LYN HARGROVE (NPI# 1376990887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376990887 |
| Entity Type | Individual |
| Full Name | LISA LYN HARGROVE |
| Credential | LPC-A, LCAS |
| Practice Address |
235 Sugar Maple Ave Wake Forest NC 27587-2280 |
| Practice Telephone | 9195935445 |
| Mailing Telephone | 9195935445 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21906 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A12065 | NC | Behavioral Health & Social Service Providers |
| Street Address |
235 SUGAR MAPLE AVE |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977720 | Sasha White | Counselor | 3200 Keighley Forest Dr, Wake Forest, NC 27587-5420 | 2020-06-22 |
| 1013464353 | Rick Mckoy | Counselor | 180 Meadow Glen Dr, Wake Forest, NC 27587-7936 | 2016-09-03 |
| 1184005712 | Michael Blaise Marcinowski | Counselor | 8400 Portmarnock Ct, Wake Forest, NC 27587-9499 | 2015-06-09 |
| 1346416450 | Janice S. Hall | Counselor | 508 E Elm St, Wake Forest, NC 27587-2782 | 2008-05-08 |
| 1205017613 | Jenna Noelle Warren | Counselor | 936 Coral Bell Dr, Wake Forest, NC 27587-4396 | 2007-11-14 |
| 1821284217 | Brenda Joyce Fearnot | Counselor | 5805 Snooks Trl, Wake Forest, NC 27587-8450 | 2007-09-19 |
| 1932323524 | Kayce Hodos | Counselor | 833 Wake Forest Business Park Ste H, Wake Forest, NC 27587-7184 | 2007-04-13 |
| 1306964549 | Steve Otto Steff | Counselor | 1421 Forestville Rd, Wake Forest, NC 27587-7607 | 2007-03-26 |
| 1013025873 | Wake Forest Counseling Services, Inc. | Counselor | 839c Wake Forest Business Park Ste E, Wake Forest, NC 27587-7181 | 2006-08-29 |
| 1942240742 | Glenn Dale Harsch | Counselor | 8424 Portmarnock Ct, Wake Forest, NC 27587-9419 | 2006-06-08 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on LISA LYN HARGROVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.