Healthcare Provider Details

I. General information

NPI: 1730697475
Provider Name (Legal Business Name): INNER HEALING SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 PATTON DR STE A
SHELBY NC
28150-4696
US

IV. Provider business mailing address

213 PATTON DR STE A
SHELBY NC
28150-4696
US

V. Phone/Fax

Practice location:
  • Phone: 704-466-3022
  • Fax: 844-272-6196
Mailing address:
  • Phone: 704-466-3022
  • Fax: 844-272-6196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9869
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMIA CHINON BRISCOE
Title or Position: OUTPATIENT THERAPIST
Credential: MA, LCMHCS, LCAS-A
Phone: 704-466-3022