Healthcare Provider Details

I. General information

NPI: 1134723794
Provider Name (Legal Business Name): ADDICTION TREATMENT RECOVERY AND EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 EXECUTIVE CENTER DR STE 132
CHARLOTTE NC
28212-8821
US

IV. Provider business mailing address

5500 EXECUTIVE CENTER DR STE 132
CHARLOTTE NC
28212-8821
US

V. Phone/Fax

Practice location:
  • Phone: 980-207-1003
  • Fax:
Mailing address:
  • Phone: 980-207-1003
  • Fax: 980-498-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARLETTE OWENS-MOSLEY
Title or Position: PROVIDER
Credential: FNP-C , PMHNP-BC
Phone: 980-207-1003