=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578412466
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNITY WELLNESS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2026
-----------------------------------------------------
Last Update Date | 01/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1206 HOPE MILLS RD
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28304-4215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-275-5766
-----------------------------------------------------
Fax | 866-990-0668
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1206 HOPE MILLS RD
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28304-4215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-275-5766
-----------------------------------------------------
Fax | 866-990-0668
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ROBYN MIRASSOU
-----------------------------------------------------
Credential | LCMHC
-----------------------------------------------------
Telephone | 910-670-7340
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------