Healthcare Provider Details

I. General information

NPI: 1235598723
Provider Name (Legal Business Name): APIFFANY ALEXANDRIA GAITHER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19810 W CATAWBA AVE STE E2
CORNELIUS NC
28031-4056
US

IV. Provider business mailing address

19810 W CATAWBA AVE STE E2
CORNELIUS NC
28031-4056
US

V. Phone/Fax

Practice location:
  • Phone: 980-222-1891
  • Fax:
Mailing address:
  • Phone: 980-222-1891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14521
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: