Healthcare Provider Details

I. General information

NPI: 1326963943
Provider Name (Legal Business Name): AROSE COUNSELING AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BETHESDA PL STE 501
WINSTON SALEM NC
27103-3327
US

IV. Provider business mailing address

6040 LOOP RD
CLEMMONS NC
27012-8209
US

V. Phone/Fax

Practice location:
  • Phone: 336-829-8977
  • Fax:
Mailing address:
  • Phone: 336-829-8977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLY RUSSELL JOHNSON
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 336-829-8977