MALLORIE ELY LLC NPI 1649818642

NPI Information

NPI: 1649818642
Provider Name: MALLORIE ELY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
231 N 3RD AVE STE 204
SANDPOINT, ID
ZIP 83864
Phone: (208) 610-0996
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MALLORIE ELY, LLC is a mental health (including community mental health center) clinic center in Sandpoint, ID. MALLORIE ELY, LLC NPI is 1649818642. The provider is registered as an organization entity type.

The provider's business location address is:

231 N 3RD AVE STE 204
SANDPOINT, ID
ZIP 83864-418
Phone: (208) 610-0996

The provider's authorized official is Mallorie Ely .
The authorized official title is Owner/clinician and has the following contact phone number (208) 610-0996.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/14/2023

NPI Synchronization or Removal

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