Upwelling Therapeutic Services PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

UPWELLING THERAPEUTIC SERVICES PLLC

Practice address

1932 Weddington Rd
Weddington, NC 28104-8318

Phone

(704) 931-5612

NPI assigned

Dec 14, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melinda Willison, MS, NCC, LCMHCANPI 1215667837

Title

Owner

Phone

(704) 315-4333

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Willison

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1215667837
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1679341127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ANNABERG LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108652",
            "telephone_number": "704-315-4333",
            "fax_number": "704-315-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-931-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWELLING THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "WILLISON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-315-4333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, NCC, LCMHCA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M Sussman, M.A., CCC-SLP
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• Laura Anne Theunisse, PT
• Ulla Svane Chiropractic PLLC
• Allison Valeri, PT, DPT
• Shimul Vasa, RPH
• Chris Vrabel, PSY.D.
• Taylor M Walker-Krohnemann, LCSW, LCAS
• Christopher W. Wasulko, D.M.D.

• Adolescent and Children Mental Health Clinic/Center in Weddington, NC
• Providers in Weddington, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.