Healthcare Provider Details

I. General information

NPI: 1801091442
Provider Name (Legal Business Name): LISA MICHELLE BEST LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 11/25/2022
Certification Date: 11/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 RAVEN RD
PINEY CREEK NC
28663-9257
US

IV. Provider business mailing address

PO BOX 15
PINEY CREEK NC
28663-0015
US

V. Phone/Fax

Practice location:
  • Phone: 336-669-7340
  • Fax:
Mailing address:
  • Phone: 336-669-7340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3940
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3940
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: