Anna Catherine Malles, LCSWA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P013820 Issued in NC

Practice address

415 E 4TH St
Charlotte, NC 28202-2405

Phone

(980) 402-7526

NPI assigned

Oct 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1154964500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 EAST BLVD APT 2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034813",
            "telephone_number": "407-670-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 4TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022405",
            "telephone_number": "980-402-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLES",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P013820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallard Creek Family Dentistry LLP
• Mallard Creek Learning Center
• Mallard Creek Therapeutic Services
• Michelle Parker Mallen, M.S, CCC-SLP
• Michelle Mallery Patel, BS
• Caroline E Malles
• Shwetha Mallesara Sudhakar
• Thierry Mitchel Mallet, M.D.
• Emily Mallobe
• Michael S Mallonee, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.