Maria Macarena Gallardo, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10209A Issued in NC

Practice address

8201 Arrowridge Blvd Ste 148
Charlotte, NC 28273-5865

Phone

(704) 408-8489

Fax

(855) 532-2779

NPI assigned

Oct 26, 2023

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andes Mindful Space

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1164399820
  NPD
• P&G Clinical Services PLLC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1871851113
  NPD (past)

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1386416949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 HENSLEY RD W",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159004",
            "telephone_number": "704-408-8489",
            "fax_number": "855-532-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ARROWRIDGE BLVD STE 148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735865",
            "telephone_number": "704-408-8489",
            "fax_number": "855-532-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8322 Pineville Matthews Rd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264823",
            "country_code": "US",
            "telephone_number": "704-408-8489",
            "fax_number": "855-532-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "MARIA",
        "middle_name": "MACARENA",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "10209A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Gallagher, OTR/L
• Jerri Latasha Gallahar
• Monica Rebecca Gallant, RD
• Alyssa Claire Gallardo, LMSW
• Brenda Nataly Gallardo, LCMHCA
• Danielle Renae Gallegos, MD
• Matthew Gallegos
• Lucia Galleno, LPCA
• Jessica Raye Gallimore, NP
• Melissa Gallimore, MSW

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.