Mahan, Mallory

Mahan, Mallory is an sole proprietor health care provider with primary practice located at 606 E Spring St , Cookeville TN 38501-5066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mahan, Mallory can be contacted via phone (931) 303-0665.

Contact Information

Primary practice address
606 E Spring St Cookeville TN 38501-5066
Phone: (931) 303-0665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 000609761 Tennessee
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1801440110
LBN Legal business name Mahan, Mallory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2019
Last updated Jul 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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