Healthcare Provider Details

I. General information

NPI: 1437028222
Provider Name (Legal Business Name): ALISA HOYLE WHEELER LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4137 HIGHWAY 73
IRON STATION NC
28080-7709
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-732-0761
  • Fax: 704-732-4456
Mailing address:
  • Phone: 704-874-1904
  • Fax: 704-865-4614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20872
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: