Individual provider · Type 1 NPI

Malory Laura Desrivieres

Mental Health Counselor · Miami, FL

NPI number 1619489341 Active

Practice location

12485 SW 137th Ave
Miami, FL 33186-4216

Fax (305) 846-9711

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH24033 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1619489341

Malory Laura Desrivieres's National Provider Identifier is 1619489341, issued on Nov 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, FL. The record was last updated on Nov 21, 2025.