Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Arise Destiny LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1437541877

Arise Destiny LLC is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1935 J N Pease Pl Ste 101
Charlotte, NC 28262-4541
Phone: (704) 907-8242
Fax: (704) 973-0694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1437541877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Clark — Lcsw/Lisw-Cp · (704) 907-8242
NPI enumeratedFebruary 23, 2015
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address10211 Meridale Crossing Dr, Charlotte, NC 28269-7367

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