MEDICARE: MALORIE MICHELLE MALONE MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1295505048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALORIE MICHELLE MALONE MA

Provider Business Mailing Address
First Line	:	87 LONE OAK BLVD
Second Line	:
City	:	POTTSBORO
State	:	TX
Zip	:	75076-4982
Country	:	US
Telephone Number	:	903-815-4971
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 TEAGUE DR STE 510
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-2656
Country	:	US
Telephone Number	:	469-215-5449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

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Directions to “ MALORIE MICHELLE MALONE MA” Practice Location

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