Av Proactive Wellness
Organization Active NPI Clinic/Center · Charlotte, NC
NPI 1033029079 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1033029079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- AV PROACTIVE WELLNESS
- Practice address
- 2315 W Arbors Dr Ste 200
Charlotte, NC 28262-2698 - Phone
- (336) 263-5577
- NPI assigned
- Sep 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Lakisha Anderson Highe, AGNP-C
- Title
- Owner
- Phone
- (336) 263-5577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
2315 W Arbors Dr Ste 200
Charlotte, NC 28262-2698
Mailing address
2315 W Arbors Dr Ste 200
Charlotte, NC 28262-2698
Phone (336) 263-5577
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All providers in Charlotte, NC · Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.