MR. STEVEN MICHAEL MALLORY (NPI# 1639244080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639244080 |
| Entity Type | Individual |
| Full Name | MR. STEVEN MICHAEL MALLORY |
| Credential | LPC LADC |
| Practice Address |
1500 North 6th Street Ponca City OK 74601 |
| Practice Telephone | 5807627561 |
| Practice Fax Number | 5807625876 |
| Mailing Telephone | 5807627561 |
| Mailing Fax Number | 5807625876 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
476 | OK | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
1418 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1500 NORTH 6TH STREET |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312058 | Bailey Lee Ann Agee | Counselor | 1012 Rosedale Dr, Ponca City, OK 74604-4627 | 2019-12-04 |
| 1124387329 | Ashley Jessica Diedrich | Counselor | 609 E Hartford Ave, Ponca City, OK 74601-2006 | 2012-05-08 |
| 1396055182 | John William Hitchcock | Counselor | 1800 Yale Ave, Ponca City, OK 74604-2747 | 2010-10-14 |
| 1275859142 | Deborah Louella Margerum | Counselor | Bridgeway, Inc., 620 W Grand, Ponca City, OK 74601-5123 | 2010-04-15 |
| 1780717330 | William Cody Shoemaker | Counselor | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2007-03-13 |
| 1255968145 | John Hofferber | Counselor | 2225 N Union St, Ponca City, OK 74601-1555 | 2020-03-23 |
| 1053761338 | Ashley Merz | Counselor | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2016-06-16 |
| 1346621281 | Michael Garrett Degan | Counselor | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2015-06-16 |
| 1073934980 | John Wensler | Counselor | 110 N 4th St, Ponca City, OK 74601-4527 | 2013-12-18 |
| 1164766796 | Lorrie Hazard | Counselor | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2012-11-20 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on MR. STEVEN MICHAEL 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.