MEDICARE: ARISE HEALING COUNSELING, PLLC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1649127630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE HEALING COUNSELING, PLLC.

Provider Business Mailing Address
First Line	:	508 ELLINGSWORTH LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-8464
Country	:	US
Telephone Number	:	980-416-4015
Fax Number	:	980-419-6360

Provider Business Practice Location Address
First Line	:	508 ELLINGSWORTH LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-8464
Country	:	US
Telephone Number	:	980-416-4015
Fax Number	:	980-419-6360

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MS. KIA WIGGINS
Credential	:	MSW, LCSW
Telephone Number	:	980-416-4015

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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