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MALLORY DANIELLE MONTEFEL EDD LAC NPI 1376949743


NPI Information

NPI: 1376949743
Provider Name: MALLORY DANIELLE MONTEFEL, EDD, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2505 W BERYL AVE
PHOENIX, AZ
ZIP 85021
Phone: (602) 599-5519
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Mallory Danielle Montefel, EDD, LAC is an addiction (substance use disorder) counselor in Phoenix, AZ. Mallory Danielle Montefel, EDD, LAC NPI is 1376949743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2505 W BERYL AVE
PHOENIX, AZ
ZIP 85021-641
Phone: (602) 599-5519
Fax: (602) 599-5819

The enumeration date for this NPI number is 11/13/2014 and was last updated on 11/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LAC-13187ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.