Healthcare Provider Details

I. General information

NPI: 1154244531
Provider Name (Legal Business Name): ITERATE WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 SOUTH BLVD STE 35883
CHARLOTTE NC
28203-4280
US

IV. Provider business mailing address

1300 SOUTH BLVD STE 35883
CHARLOTTE NC
28203-4280
US

V. Phone/Fax

Practice location:
  • Phone: 919-901-0015
  • Fax:
Mailing address:
  • Phone: 919-901-0015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEVIN KISER
Title or Position: MANAGER
Credential:
Phone: 919-901-0015