Organization Active NPI

Unbound Wellness PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1730075284
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UNBOUND WELLNESS PLLC
Doing business as
Unbound Wellness Group PLLC
Practice address
1100 Wake Forest Rd Ste 100-E
Raleigh, NC 27604-1354
Phone
(919) 561-5086
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Emma Blaise Van Horne, LCSWANPI 1306569231
Title
Owner/Therapist
Phone
(919) 561-5086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1100 Wake Forest Rd Ste 100-E
Raleigh, NC 27604-1354

Mailing address

8107 Amador Way
Raleigh, NC 27616-5995
Phone (919) 791-7674

Other names 1

  • Unbound Wellness Group PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1100 Wake Forest Rd
Ste 100E
Raleigh, NC 27604
Phone (919) 561-5086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1730075284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 AMADOR WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165995",
            "telephone_number": "919-791-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WAKE FOREST RD STE 100-E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041354",
            "telephone_number": "919-561-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "VAN HORNE",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "BLAISE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-561-5086",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unbound Wellness Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.