GEORGE MALLINCKRODT NPI 1801350400

NPI Information

  • NPI: 1801350400
  • Provider Name: GEORGE MALLINCKRODT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 901 S 62ND AVE
    HOLLYWOOD, FL
    ZIP 33023
  • Phone: (561) 790-1191

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NPI Details

George Mallinckrodt is a mental health counselor in Hollywood, FL. George Mallinckrodt NPI is 1801350400. 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:

901 S 62ND AVE
HOLLYWOOD, FL
ZIP 33023-848
Phone: (561) 790-1191

The enumeration date for this NPI number is 1/28/2019 and was last updated on 1/28/2019.

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
1101YM0800XCounselorMental HealthMH6922FLORIDAYes

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

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