Individual provider · Type 1 NPI

Michelle Terry Mallen

Mental Health Counselor · Longwood, FL

NPI number 1013779842 Active

Practice location

781 Ciara Creek Cv Ste 1011
Longwood, FL 32750-4662

Call (407) 699-5824 Map

Mailing address

127 Hidden Arbor Ct
Sanford, FL 32773-5560

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1013779842

Michelle Terry Mallen's National Provider Identifier is 1013779842, issued on Jan 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longwood, FL. The record was last updated on Jan 26, 2024.