ARISE DESTINY LLC
NPI 1437541877
Community/Behavioral Health in Charlotte, NC
- Organization
- Community/Behavioral Health
About ARISE DESTINY LLC
This page provides the complete NPI Profile along with additional information for Arise Destiny Llc, a provider established in Charlotte, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1437541877 assigned on February 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Arise Destiny Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Vivian Audrey Clark (Lcsw/lisw-cp)
- NPI
- 1437541877 Verify this NPI
- Provider Name
- ARISE DESTINY LLC
- Entity Type
- Organization
- Location Address
- 1935 J N PEASE PL STE 101 CHARLOTTE, NC 28262
- Location Phone
- (704) 907-8242
- Location Fax
- (704) 973-0694
- Mailing Address
- 10211 MERIDALE CROSSING DR CHARLOTTE, NC 28269
- Mailing Phone
- (704) 907-8242
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2015
- Last Update Date
- 12-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437541877, enumerated as an "organization" on February 23, 2015.
The provider is located at 1935 J N PEASE PL STE 101 CHARLOTTE, NC 28262 and the phone number is (704) 907-8242.
Community/Behavioral Health with taxonomy code 251S00000X.
