# UPWELLING THERAPEUTIC SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679341127
- **Authorized official:** MS. MELINDA WILLISON MS, NCC, LCMHCA (OWNER)
- **Authorized official phone:** (704) 315-4333

## Contact information

- **Practice address:** 1932 WEDDINGTON RD, WEDDINGTON, NC 28104-8318
- **Practice address phone:** (704) 931-5612
- **Mailing address:** 315 ANNABERG LN, MONROE, NC 28110-8652
- **Mailing address phone:** (704) 315-4333
- **Mailing address fax:** (704) 315-4333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2023
- **Last updated:** 12/20/2023