Individual provider · Type 1 NPI

Anthony Mallace, MS

Counselor · Fort Lauderdale, FL

NPI number 1649402835 Active

Practice location

2699 Stirling Road, Suite B304
Fort Lauderdale, FL 33312

Mailing address

8320 NW 11th Court
Pembroke Pines, FL 33024

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMH1149 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649402835

Anthony Mallace, MS's National Provider Identifier is 1649402835, issued on Aug 20, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 20, 2009.