MS. MADISON GRACE MALLORY NPI 1700570389

NPI Information

  • NPI: 1700570389
  • Provider Name: MS. MADISON GRACE MALLORY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10999 REED HARTMAN HWY
    SUITE 207
    BLUE ASH, OH
    ZIP 45242
  • Phone: (513) 999-5506

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NPI Details

MS. Madison Grace Mallory is a mental health counselor in Blue Ash, OH. MS. Madison Grace Mallory NPI is 1700570389. 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:

10999 REED HARTMAN HWY
SUITE 207
BLUE ASH, OH
ZIP 45242
Phone: (513) 999-5506

The enumeration date for this NPI number is 6/6/2023 and was last updated on 9/18/2025.

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
1101YM0800XCounselorMental HealthC.2507511OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12910854MEDICAIDOHIO

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: 11/21/2025

NPI Synchronization or Removal

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