MALLORY WARE (NPI# 1972002368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972002368 |
Entity Type | Individual |
Full Name | MALLORY WARE |
Practice Address |
19500 North 2860 East Moroni UT 84646-0461 |
Mailing Address |
Po Box 461 Moroni UT 84646-0461 |
Practice Telephone | 4352621217 |
Practice Fax Number | 4354369029 |
Mailing Telephone | 4352621217 |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-03-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1235458555 | 05 |
Street Address |
19500 NORTH 2860 EAST |
City | MORONI |
State | UT |
Zip Code | 84646-0461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942727029 | Doug Lloyd Hopes | Counselor | 21630 North 1450 East, Morona, UT 84646 | 2017-08-29 |
1881002061 | Compass Academy Transitional Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4800 E 17160 N, Moroni, UT 84646 | 2014-07-31 |
1932534260 | Matthew Truman Johnson | Substance Abuse Rehabilitation Facility | 2860 E 19500 N, Moroni, UT 84646 | 2013-09-05 |
1457611766 | Samuel Paul Wilkey | Substance Abuse Rehabilitation Facility | 21360 N 1450e, Moroni, UT 84646 | 2012-05-21 |
1275828949 | Robert Duane Simonson | Social Worker | 4800 East 17160 North, Moroni, UT 84646 | 2011-06-10 |
1386950392 | Josh Wilkey | Community Health Worker | 4800 E. 17160 N, Moroni, UT 84646 | 2010-08-27 |
1891007886 | Compass Academy | Residential Treatment Facility, Emotionally Disturbed Children | 4800 E. 17160 N., Moroni, UT 84646 | 2010-07-08 |
1518906320 | Eileen Keenan Jackson | Family Medicine | 51 E Main St., Moroni, UT 84646 | 2006-06-06 |
1225537707 | Jessica Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
1134628613 | Todd Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
Find all providers in zip 84646 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366873531 | Blake Trythall | Counselor | 2860 East 19500 North, Moroni, UT 84646-0461 | 2013-12-12 |
1346602133 | Shandi Child Michael | Counselor | 21360 North 1450 East, Moroni, UT 84646 | 2016-03-22 |
1184040925 | Trevor Hansen | Counselor | 21260 N. 1450 E., Moroni, UT 84646 | 2014-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
1114526654 | Nancie Ann Silva-dahl | Counselor | 1422 S Barley Dr, Spanish Fork, UT 84660-6105 | 2020-10-24 |
1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
1174138143 | Balance Counseling, Pllc | Counselor | 802 E Bamberger Dr, American Fork, UT 84003-2184 | 2020-09-15 |
1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
1851905939 | Brenda Somers | Counselor | 564 Cross St, Ogden, UT 84404-5071 | 2020-09-04 |
1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MALLORY WARE.
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.