Individual provider · Type 1 NPI

Mallory Genine Neill Rogers, LCMHCA, LCAS

Professional Counselor · Shallotte, NC

NPI number 1780575985 Active

Practice location

120 Coastal Horizons Dr
Shallotte, NC 28470-6094

Call (910) 754-4515 Map

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XA22604 (NC)
Professional Counselor Primary 101YP2500XA22604 (NC)

Professional Counselor: Definition to come...

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About NPI 1780575985

Mallory Genine Neill Rogers, LCMHCA, LCAS's National Provider Identifier is 1780575985, issued on Jul 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shallotte, NC. The record was last updated on Jun 23, 2026.