Healthcare Provider Details

I. General information

NPI: 1316859440
Provider Name (Legal Business Name): ARIEL FREEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 LATROBE DR
CHARLOTTE NC
28211-4824
US

IV. Provider business mailing address

7020 MACFARLANE BLVD
CHARLOTTE NC
28262-3672
US

V. Phone/Fax

Practice location:
  • Phone: 910-212-2406
  • Fax:
Mailing address:
  • Phone: 910-212-2406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024570
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: