Healthcare Provider Details

I. General information

NPI: 1396101200
Provider Name (Legal Business Name): XOLANI CENTERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 FALLS OF NEUSE RD STE 300
RALEIGH NC
27615-5384
US

IV. Provider business mailing address

7200 FALLS OF NEUSE RD STE 300
RALEIGH NC
27615-5384
US

V. Phone/Fax

Practice location:
  • Phone: 984-200-2780
  • Fax:
Mailing address:
  • Phone: 984-200-2780
  • Fax: 984-200-6328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DICKY WALIA
Title or Position: INTERIM CEO
Credential:
Phone: 984-200-2780