Individual provider · Type 1 NPI
Shanita Mallory, LPC
Mental Health Counselor · Virginia Beach, VA
NPI number
1477185098
Active
Practice location
900 Commonwealth Pl Ste 225
Virginia Beach, VA 23464-4517
Mailing address
10 Big Bethel Rd Apt A
Hampton, VA 23666-4736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0704007981 (VA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1477185098
Shanita Mallory, LPC's National Provider Identifier is 1477185098, issued on Feb 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Virginia Beach, VA. The record was last updated on Mar 30, 2023.