MARY ANN MCGANNON LPC LLC NPI 1497086110

NPI Information

  • NPI: 1497086110
  • Provider Name: MARY ANN MCGANNON, LPC, LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 1122 SAM NEWELL RD
    STE 103
    MATTHEWS, NC
    ZIP 28105
  • Phone: (803) 431-6103

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NPI Details

MARY ANN MCGANNON, LPC, LLC is a counselor in Matthews, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MARY ANN MCGANNON, LPC, LLC NPI is 1497086110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1122 SAM NEWELL RD
STE 103
MATTHEWS, NC
ZIP 28105-015
Phone: (803) 431-6103

The provider's authorized official is Mary Ann M. Mcgannon .
The authorized official title is Owner and has the following contact phone number (803) 431-6103.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor2816NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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