RODNEY MALLORY NPI 1194312108

NPI Information

NPI: 1194312108
Provider Name: RODNEY MALLORY
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2300 W PARK PL STE 135
STONE MOUNTAIN, GA
ZIP 30087
Phone: (678) 330-1400
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Rodney Mallory is a counselor in Stone Mountain, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Rodney Mallory NPI is 1194312108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 W PARK PL STE 135
STONE MOUNTAIN, GA
ZIP 30087-561
Phone: (678) 330-1400
Fax: (678) 330-1405

The enumeration date for this NPI number is 12/23/2020 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor			GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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