# IREVEAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1972272045
- **Authorized official:** RITA AGUNOBI FNP-BC, PMHNP-BC (CEO)
- **Authorized official phone:** (704) 918-0587

## Contact information

- **Practice address:** 2315 W ARBORS DR STE 3, CHARLOTTE, NC 28262-2577
- **Practice address phone:** (704) 751-9077
- **Mailing address:** 2315 W ARBORS DR STE 3, CHARLOTTE, NC 28262-2577
- **Mailing address phone:** (704) 751-9077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/10/2021
- **Last updated:** 08/11/2022