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NPI Code Detail

MEDICARE: MACIE STEWART LMFT

MEDICARE: MACIE STEWART LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist2383NC

General Provider Information

NPI Number : 1821947219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACIE STEWART LMFT
Provider Business Mailing Address
First Line : 4009 CORNING PL STE E2-334
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-1299
Country : US
Telephone Number : 980-352-8145
Fax Number :
Provider Business Practice Location Address
First Line : 715 EAST BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5113
Country : US
Telephone Number : 980-352-8145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ MACIE STEWART LMFT” Practice Location

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