Search › North Carolina › 101YM0800X
Maranda Wallace, LCMHCA
NPI 1003793761 · on the registry since 2025
Practice
- Address
- 1 Roadrunner Dr
Gastonia, NC 28052 - Phone
- (704) 866-6290
- Organisation at this address
- Gaston Family Health Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina