MARANDA DOROTHEA WALLACE LCMHCA
NPI 1003793761
Counselor - Mental Health in Gastonia, NC
About Maranda Dorothea Wallace Lcmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARANDA DOROTHEA WALLACE LCMHCA (NPI 1003793761) is an individual mental health provider in Gastonia, North Carolina, licensed in North Carolina (A21767) and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GASTONIA, NC 28052
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maranda Wallace's NPI number?
The NPI number for Maranda Wallace is 1003793761. It was assigned to this individual provider in the NPPES registry on August 16, 2025.
Where is Maranda Wallace located?
Maranda Wallace practices at 1 Roadrunner Dr, Gastonia, NC 28052. The listed phone number is (704) 866-6290.
What is Maranda Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Maranda Wallace was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
