MS. MALLORY HELEN BURNETT (NPI# 1144558156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144558156 |
| Entity Type | Individual |
| Full Name | MS. MALLORY HELEN BURNETT |
| Credential | M.A. LPCC |
| Practice Address |
2469 Corrales Road N.w. Corrales NM 87048-7530 |
| Mailing Address |
47 Desert Willow Rd Corrales NM 87048-7530 |
| Practice Telephone | 5057179552 |
| Practice Fax Number | 5053691121 |
| Mailing Telephone | 5057179552 |
| Mailing Fax Number | 5053691121 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPCC0150041 | NM | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
T-0127561 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 76288251 | 05 |
| Street Address |
2469 CORRALES ROAD N.W. |
| City | CORRALES |
| State | NM |
| Zip Code | 87048-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1770102618 | Lisa Garcia | Technician | 148 West Valverde Rd., Corrales, NM 87048 | 2020-04-10 |
| 1841690732 | Erica Jacknin | Art Therapist | 100 Sherlock Ct, Corrales, NM 87048 | 2014-08-27 |
| 1821331182 | Celia Janet Larcom | Massage Therapist | 4650 Corrales Rd., Bldg. B, Corrales, NM 87048 | 2013-04-04 |
| 1740538693 | Angel Paths Therapy | Voluntary or Charitable | 817 West Ella, Corrales, NM 87048 | 2012-08-27 |
| 1013207356 | Meta, Inc. | Community/Behavioral Health | 4813 Corrales Road, Corrales, NM 87048 | 2011-04-07 |
| 1568602399 | Michael A Mauldin | Psychologist | 154 Anya Rd, Corrales, NM 87048 | 2009-03-06 |
| 1154568087 | Maria C Chavez | Counselor | 218 Broadway Ave, Abq, NM 87048 | 2009-01-14 |
| 1104073451 | Changing Life's Direction, LLC | Community/Behavioral Health | 4627 Corrales Rd., Corrales, NM 87048 | 2008-08-19 |
| 1467613604 | Natalie M Naranjo-rodriguez | Counselor | 20 Camino Vega Verde, Corrales, NM 87048 | 2008-06-20 |
| Find all providers in zip 87048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069496 | Robin Ingram | Counselor | 30 Don Tomas, Corrales, NM 87048-9607 | 2020-03-26 |
| 1023494937 | Tara Lynn Richardson | Counselor | 2469 Corrales Rd, Suite E, Corrales, NM 87048-9146 | 2015-08-03 |
| 1740570712 | Linda Chace Brislen | Counselor | 455 Hanson Rd., Corrales, NM 87048-0870 | 2011-04-12 |
| 1689974347 | Susan Steiner | Counselor | 2469 Corrales Rd Ste F, Corrales, NM 87048-9148 | 2010-10-28 |
| 1689816837 | Marlayna Elizabeth Gallegos | Counselor | 4940 Corrales Rd, Suite 300, Corrales, NM 87048-8673 | 2009-04-02 |
| 1568601367 | Mary Christie | Counselor | 1135 W Meadowlark Ln, Corrales, NM 87048-9689 | 2009-02-18 |
| 1366604498 | Dale Robin Klein-kennedy | Counselor | 10709 Cielo Vista Del Norte, Corrales, NM 87048-8905 | 2008-06-30 |
| 1043322498 | Marie Ginga | Counselor | 4448 Corrlaes Rd., Corrales, NM 87048 | 2006-08-31 |
| 1679517379 | Joanne Marjorie Rossi | Counselor | 56 Priestly Pl, Corrales, NM 87048-9323 | 2006-06-15 |
| 1871591834 | Kylee J Gordley-shurter | Counselor | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2005-07-13 |
| Find all providers in CORRALES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.