Individual provider · Type 1 NPI

Tachicka Shawntae Malvin

Mental Health Counselor · Little Rock, AR

NPI number 1144707696 Active

Practice location

6425 W 12th St
Little Rock, AR 72204-1509

Call (501) 666-8686 Map

Mailing address

PO Box 251970
Little Rock, AR 72225-1970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144707696

Tachicka Shawntae Malvin's National Provider Identifier is 1144707696, issued on Jul 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Jul 26, 2018.