IndividualActive
Mary Gibson, LCSWA, MSM
NPI 1255093498 · Mental Health Counselor · Charlotte,, NC
Provider details
- NPI number
- 1255093498
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSWA, MSM
- Sex
- Female
- Sole proprietor
- No
- License
- P015672 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
4822 Albemarle Road, Suit 219
Charlotte,, NC 28205-6668
Phone: (704) 914-7378
Approximate (ZIP-level) locationGet directions
Mailing address
4822 Albemarle Rd Ste 219
Charlotte, NC 28205-6656
Registry dates
- Enumerated
- 2021-10-05
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.