Individual provider · Type 1 NPI

Tyron Mallard, MSW, LMHC, CPC, LPC

Professional Counselor · Raymore, MO

NPI number 1275909889 Active

Practice location

501 N Sunset Ln
Raymore, MO 64083-9402

Call (844) 853-8937 Map

Mailing address

1800 Community
Clinton, MO 64735-8804

Other practice locations

  • 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 · (702) 486-8187
  • 6000 Lamar Ave Ste 130, Mission, KS 66202-3234 · (913) 826-4200

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2023031673 (MO)
Social Worker 104100000X10247-M (NV)
Social Worker 104100000X12971 (KS)
Professional Counselor 101YP2500X03303 (KS)
Professional Counselor 101YP2500XCP0227 (NV)

Professional Counselor: Definition to come...

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About NPI 1275909889

Tyron Mallard, MSW, LMHC, CPC, LPC's National Provider Identifier is 1275909889, issued on Aug 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raymore, MO. The record was last updated on Nov 19, 2025.