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

Khysha Le Wise, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528474509

Khysha Le Wise, CSAC is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014

Practice location Address checks out

3815 N Tryon St
Charlotte, NC 28206-2060
Phone: (704) 372-8809
Fax: (704) 372-8809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 Clanton Rd, Charlotte, NC 28217-1309 — (704) 332-9001

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 2684 (NC)

Record details

NPI number1528474509
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC
Sole proprietorNo
NPI enumeratedJuly 10, 2014
Last updated in NPPESApril 17, 2019

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