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REBELLIOUS THERAPY
NPI 1821742552
Counselor - Mental Health in Huntersville, NC

Active since February 10, 2022
9808 HOLLY CENTER DR APT 204, HUNTERSVILLE, NC 28078(704) 290-9780 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebellious Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBELLIOUS THERAPY (NPI 1821742552) is a healthcare organization registered as a mental health in Huntersville, North Carolina and active in the NPI registry since February 2022. The organization lists Katherine Lee Elizabeth Waldron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821742552
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameREBELLIOUS THERAPY
Location Address9808 HOLLY CENTER DR APT 204Huntersville, NC 28078-5112
Mailing Address9808 Holly Center Dr Apt 204Huntersville, NC 28078-5112 · (704) 290-9780
Phone(704) 290-9780
Organization SubpartNo
Authorized OfficialKatherine Lee Elizabeth WaldronCeo · (704) 290-9780
Enumeration DateFebruary 10, 2022
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1821742552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9808 HOLLY CENTER DR APT 204, Huntersville, NC 28078
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Other Names 1

Doing Business AsRebellious Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebellious Therapy's NPI number?

The NPI number for Rebellious Therapy is 1821742552. It was assigned to this organization in the NPPES registry on February 10, 2022.

Where is Rebellious Therapy located?

Rebellious Therapy is located at 9808 Holly Center Dr Apt 204, Huntersville, NC 28078. The listed phone number is (704) 290-9780.

What is Rebellious Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rebellious Therapy was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.