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Organization
UPWELLING THERAPEUTIC SERVICES PLLC
Active
Organization
UPWELLING THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA WILLISON MS, NCC, LCMHCA (OWNER)
(704) 315-4333
Entity
Organization
Contact information
Practice address
1932 WEDDINGTON RD, WEDDINGTON, NC 28104-8318
(704) 931-5612
Mailing address
315 ANNABERG LN, MONROE, NC 28110-8652
(704) 315-4333
(704) 315-4333
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/14/2023
Last updated
12/20/2023
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