MR. ANTHONY MALLACE MS NPI 1649402835

NPI Information

NPI: 1649402835
Provider Name: MR. ANTHONY MALLACE, MS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2699 STIRLING ROAD
SUITE B304
FT. LAUDERDALE, FL
ZIP 33312
Phone: (954) 432-8757
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MR. Anthony Mallace, MS is a counselor in Ft. Lauderdale, FL. The provider is 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. MR. Anthony Mallace, MS NPI is 1649402835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2699 STIRLING ROAD
SUITE B304
FT. LAUDERDALE, FL
ZIP 33312
Phone: (954) 432-8757

The enumeration date for this NPI number is 8/20/2009 and was last updated on 8/20/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		MH1149	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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