IVORY G MALLORY (NPI# 1316553191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316553191 |
| Entity Type | Individual |
| Full Name | IVORY G MALLORY |
| Practice Address |
6800 Park Ten Blvd Ste 200s San Antonio TX 78213-4293 |
| Practice Telephone | 2102611000 |
| Practice Fax Number | 2102611821 |
| Mailing Telephone | 2102611000 |
| Mailing Fax Number | 2102611821 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15154 | TX | Behavioral Health & Social Service Providers |
| Street Address |
6800 PARK TEN BLVD STE 200S |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78213-4293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228137 | Norma Linda Naghaviani | Family Medicine | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2006-01-03 |
| 1376150706 | Jacqulyne Mermea | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-09-29 |
| 1558977892 | Christopher D Cruz | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-09-22 |
| 1104438647 | Ileana C. Velazquez | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-08-17 |
| 1427674175 | Madeline J Cole | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-06-18 |
| 1306461652 | Kennie T Polit | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-06-12 |
| 1417586405 | Ingrid Vergara | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-04-02 |
| 1982232195 | Michelle Idar | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-04-01 |
| 1235764275 | Kiara A Koenig | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-03-10 |
| 1700410594 | Karen Kiser | Counselor | 6800 Park Ten Blvd Ste 200s, San Antonio, TX 78213-4293 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1326540816 | Alexus Danielle Tant-quintero | Licensed Vocational Nurse | 1300 Patricia, San Antonio, TX 78213 | 2018-03-01 |
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1104285022 | West Avenue Dental Partners Pllc | Dentist | 4812 West Avenue, Suite 101, San Antonio, TX 78213 | 2016-02-19 |
| 1568829570 | Stephanie Motes | Counselor | 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 | 2016-01-21 |
| 1508236506 | Pediatric Home Healthcare, LLC | Home Health | 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 | 2015-10-02 |
| 1457775439 | Larry Roberto Dela Cruz | Specialist/Technologist, Other | 218 Mackey Drive, San Antonio, TX 78213 | 2014-02-11 |
| 1437424306 | Kellie Miller | Nurse Practitioner | 2211 Nw Military Highway, 207, Castle Hills, TX 78213 | 2012-03-12 |
| 1619248416 | Karri Ann Lusk | Psychologist | 2161 Nw Military Hwy., Suite 207, San Antonio, TX 78213 | 2012-01-25 |
| Find all providers in zip 78213 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1861007452 | David Cortez I | Counselor | 437 Mccarty Rd, San Antonio, TX 78216-4445 | 2020-09-10 |
| 1174136238 | Christine E Myers | Counselor | 7915 Avellano, San Antonio, TX 78250-5151 | 2020-08-28 |
| 1013528413 | Jaime Valdes | Counselor | 307 One Oak Dr, San Antonio, TX 78228-1530 | 2020-08-11 |
| 1114548161 | Ben Ligon | Counselor | 3 Inwood Oaks, San Antonio, TX 78248-1624 | 2020-04-30 |
| 1528688165 | Tyrone Samuel Charles Jr. | Counselor | 5312 Cilantro Pl, San Antonio, TX 78238-2346 | 2020-04-23 |
| 1730727793 | Stephanie Lynn Pirtz | Counselor | 455 Solar Dr, San Antonio, TX 78227-3838 | 2019-12-20 |
| 1750928339 | Catherine Rose Rodriguez | Counselor | 571 Spencer Ln Ste 101, San Antonio, TX 78201-2030 | 2019-12-03 |
| 1235775206 | Liddia George | Counselor | 419 E Magnolia Ave, San Antonio, TX 78212-3012 | 2019-11-25 |
| 1679123335 | Jordan Nicole Cienski | Counselor | 814 Camden St, San Antonio, TX 78215-1445 | 2019-09-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78213 |
Please comment or provide details below to improve the information on IVORY G MALLORY.
| 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.