Healthcare Provider Details

I. General information

NPI: 1154435451
Provider Name (Legal Business Name): ANN STODART NAVARRO M.A., LPA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANN MARIE STODART

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N LAFAYETTE ST SUITE 3
SHELBY NC
28150-4445
US

IV. Provider business mailing address

3763 SUGAR SPRING RD
GASTONIA NC
28054-4993
US

V. Phone/Fax

Practice location:
  • Phone: 704-418-1340
  • Fax:
Mailing address:
  • Phone: 704-868-4974
  • Fax: 704-867-2970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2944
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number1693
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: