Healthcare Provider Details

I. General information

NPI: 1013377423
Provider Name (Legal Business Name): ASHLEY BURAGLIO M.A., LMFT, LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY MARIE MARTIN MA, LMFTA

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 08/29/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 ST POINT RD
BELMONT NC
28012
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-836-9611
  • Fax:
Mailing address:
  • Phone: 704-730-7003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1964
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number11035A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: