Individual provider · Type 1 NPI

Madison Grace Mallory

Mental Health Counselor · Blue Ash, OH

NPI number 1700570389 Active

Practice location

10999 Reed Hartman Hwy, Suite 207
Blue Ash, OH 45242

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2507511 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1700570389

Madison Grace Mallory's National Provider Identifier is 1700570389, issued on Jun 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blue Ash, OH. The record was last updated on Sep 18, 2025.