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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)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
12/14/2023
Last updated
12/20/2023
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