Provider Demographics
NPI:1538738323
Name:GALLANT, NATALIE ANN (MS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:GALLANT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:HALIFAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9723 NORTHCROSS CENTER CT STE N
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7301
Mailing Address - Country:US
Mailing Address - Phone:980-202-1246
Mailing Address - Fax:
Practice Address - Street 1:9723 NORTHCROSS CENTER CT STE N
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7301
Practice Address - Country:US
Practice Address - Phone:980-202-1246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health