Active NPI
Resa B Galloway
- Counselor
- Fayetteville, NC
National Provider Identifier
1083442875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 18262
- Practice address
- 7340 Layton Dr
Fayetteville, NC 28314-5883 - Phone
- (910) 527-0662
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 18262 | NC | Primary |
Addresses
Primary practice location
7340 Layton Dr
Fayetteville, NC 28314-5883
Mailing address
#1355 5075 Morganton Rd Ste 10C
Fayetteville, NC 28314
Phone (910) 490-8186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18262 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1083442875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#1355 5075 MORGANTON RD STE 10C",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28314",
"telephone_number": "910-490-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 LAYTON DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145883",
"telephone_number": "910-527-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "RESA",
"middle_name": "B",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "18262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.