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General NPI Number Information
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NPI Number | 1205201365
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Entity Type | Organization
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Legal Business Name | EVOLVING REFLECTIONS-MALLINGER, PLLC
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 3652 N RANCHO DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-3178
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Country | US
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Telephone | 702-850-2833
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Fax | 702-538-9148
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Provider Business Mailing Address
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Address Line | 11248 NEWBURY HILLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-1521
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Country | US
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Telephone | 702-497-8390
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Fax | 702-538-9148
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Authorized Official
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Title or Position | LMFT
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Name | LISA ANNETTE MALLINGER
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Credential | LMFT
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Telephone | 702-497-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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