Individual provider · Type 1 NPI

Mallory Carlson, LMHC

Mental Health Counselor · Tampa, FL

NPI number 1508445040 Active

Practice location

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH18421 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1508445040

Mallory Carlson, LMHC's National Provider Identifier is 1508445040, issued on Apr 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Aug 19, 2026.