Arise Destiny Llc

LBN: Arise Destiny Llc
Arise Destiny Llc is an health care organization with primary practice located at 1935 J N Pease Pl Ste 101 , Charlotte NC 28262-4541. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Arise Destiny Llc can be contacted via phone (704) 907-8242, or through Clark, Vivian Audrey via phone (704) 907-8242.

Contact Information

Primary practice address
1935 J N Pease Pl Ste 101 Charlotte NC 28262-4541
Phone: (704) 907-8242
Fax: (704) 973-0694
Website:
Map and Directions
Authorized official contact:
Name: Clark, Vivian Audrey
Phone: (704) 907-8242

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1437541877
LBN Legal business name Arise Destiny Llc
DBA Doing business as
Authorized official Clark, Vivian Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2015
Last updated Dec 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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