Healthcare Provider Details

I. General information

NPI: 1396538013
Provider Name (Legal Business Name): MALLORY SCHULINGKAMP PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8310 PARC PL # A
CHALMETTE LA
70043-1646
US

IV. Provider business mailing address

8310 PARC PL # A
CHALMETTE LA
70043-1646
US

V. Phone/Fax

Practice location:
  • Phone: 504-285-8009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC10411
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: