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1043257272 NPI number — SALLY MALLERY LMHC

NPI Number: 1043257272
Health Care Provider/Practitioner: SALLY MALLERY LMHC

Information about “1043257272” NPI (SALLY MALLERY LMHC) exists in 1043257272 in HTML format HTML  |  1043257272 in plain Text format TXT  |  1043257272 in PDF (Portable Document Format) PDF  |  1043257272 in an XML format XML  formats.

NPI Number : 1043257272 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043257272",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALLERY",
    "FirstName": "SALLY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1500 SUNSET RD",
    "SecondLineMailingAddress": "F5",
    "MailingAddressCityName": "TARPON SPRINGS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34689-2767",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-943-8600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5315 TROUBLE CREEK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW PORT RICHEY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34652-4949",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-849-5588",
    "PracticeLocationAddressFaxNumber": "727-849-5527",
    "EnumerationDate": "05/31/2006",
    "LastUpdateDate": "09/28/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MH1962",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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