MALLORY BARBARA HERRIN (NPI# 1477845147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477845147 |
| Entity Type | Individual |
| Full Name | MALLORY BARBARA HERRIN |
| Credential | SAC-IT |
| Practice Address |
820 W. College Ave Appleton WI 54914 |
| Mailing Address |
820 W College Ave Appleton WI 54914-5286 |
| Practice Telephone | 9207301323 |
| Mailing Telephone | 9207301323 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| 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) |
16148-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
820 W. COLLEGE AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1427387661 | Province Terrace Villas Long Ct. LLC | Assisted Living Facility | 5216 Long Court, Appleton, WI 54914 | 2009-12-17 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373843 | Life Counseling & Consulting, LLC | Counselor | 101 W Edison Avenue, Suite 117, Appleton, WI 54915-1930 | 2019-12-13 |
| 1699233270 | A Village LLC | Counselor | 2031 E Calumet St, Appleton, WI 54915-4742 | 2019-03-04 |
| 1578081766 | Erin Bozich | Counselor | 1000 N Lynndale Dr Ste C, Appleton, WI 54914-3057 | 2017-09-07 |
| 1124542709 | Anthony Edward Klingert | Counselor | 3003 N Richmond St # A, Appleton, WI 54911-1148 | 2017-07-26 |
| 1043661036 | Wisconsin Lutheran Child & Family Service | Counselor | 5300 N Meade St, Appleton, WI 54913-8383 | 2016-06-30 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| 1356766406 | Renee Taylor | Counselor | 201 S Glenridge Ct, Appleton, WI 54914-3905 | 2014-02-26 |
| 1720351729 | James Edward Reider | Counselor | 3301 3301 N. Ballard Road, Appleton, WI 54911-9002 | 2012-02-22 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1104065150 | Signa Anders Meyers | Counselor | 820 W College Ave, Appleton, WI 54914-5286 | 2009-02-16 |
| Find all providers in APPLETON | ||||
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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.