MEDICARE: ROOTED AND RISING COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1003771692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED AND RISING COUNSELING PLLC

Provider Business Mailing Address
First Line	:	5121 BENTGRASS RUN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-6129
Country	:	US
Telephone Number	:	704-999-9488
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 BENTGRASS RUN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-6129
Country	:	US
Telephone Number	:	704-999-9488
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL MENTAL HEALTH COUNSELOR
Name	:	BREANNA JULEEN KING
Credential	:	LCMHC-A
Telephone Number	:	704-999-9488

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/28/2025

Similar Medicare Providers

1013879931 — BREANNA JULEEN KING
Practice Location Address:

5121 BENTGRASS RUN DR
CHARLOTTE, NC
28269-6129

Practice Phone: 704-999-9488
Practice Fax:

1821936535 — MAGNUSSON CLINIC PLLC
Practice Location Address:

12749 NETHERHALL DR
CHARLOTTE, NC
28269-8405

Practice Phone: 704-412-8297
Practice Fax:

1487592911 — EVOLVING TO INDEPENDENCE
Practice Location Address:

3515 DAVID COX RD UNIT 480682
CHARLOTTE, NC
28269-2505

Practice Phone: 704-936-8634
Practice Fax:

1669320941 — KROWNED AND KULTURED LLC
Practice Location Address:

5734 TWIN BROOK DR
CHARLOTTE, NC
28269-1692

Practice Phone: 910-502-3258
Practice Fax:

1336088228 — GRACEE KEITH
Practice Location Address:

6634 OLD STATESVILLE RD
CHARLOTTE, NC
28269-6768

Practice Phone: 704-251-4898
Practice Fax:

1598604480 — SAINT FRANCIS HOME CARE
Practice Location Address:

6418 MALLARD VIEW LN
CHARLOTTE, NC
28269-5121

Practice Phone: 704-449-7932
Practice Fax:

Directions to “ROOTED AND RISING COUNSELING PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.