Healthcare Provider Details

I. General information

NPI: 1114867058
Provider Name (Legal Business Name): LISA WITZELHOFER APPLEBY CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MORGANTON BLVD SW
LENOIR NC
28645-5219
US

IV. Provider business mailing address

222 MORGANTON BLVD SW
LENOIR NC
28645-5219
US

V. Phone/Fax

Practice location:
  • Phone: 828-610-2740
  • Fax: 828-536-4926
Mailing address:
  • Phone: 828-610-2740
  • Fax: 828-536-4926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADC-24279
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: