Provider Demographics
NPI:1104869619
Name:MCFARLAND, GARY WILLIAM (DMIN)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:WILLIAM
Last Name:MCFARLAND
Suffix:
Gender:
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900B PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2133
Mailing Address - Country:US
Mailing Address - Phone:704-527-7907
Mailing Address - Fax:704-527-7906
Practice Address - Street 1:3900B PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2133
Practice Address - Country:US
Practice Address - Phone:704-527-7907
Practice Address - Fax:704-527-7906
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2405101YP2500X
NC601106H00000X
NC40101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56554OtherBCBSNC PROVIDER NUMBER