Healthcare Provider Details

I. General information

NPI: 1770491714
Provider Name (Legal Business Name): HEALING OUT LOUD ON PURPOSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 TRYON HILL DR APT 231
RALEIGH NC
27603-1892
US

IV. Provider business mailing address

2988 NC HIGHWAY 83
MAXTON NC
28364-8478
US

V. Phone/Fax

Practice location:
  • Phone: 984-350-0017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ARLICIA HALL
Title or Position: CEO/OWNER
Credential: LCMHC, LDAC, CCS,
Phone: 984-350-0017