MITCHELL SHANE MALLARD LMHC-S NPI 1902490980

NPI Information

  • NPI: 1902490980
  • Provider Name: MITCHELL SHANE MALLARD, LMHC-S
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8406 SIX FORKS RD STE 104
    RALEIGH, NC
    ZIP 27615
  • Phone: (919) 424-6045

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NPI Details

Mitchell Shane Mallard, LMHC-S is a mental health counselor in Raleigh, NC. Mitchell Shane Mallard, LMHC-S NPI is 1902490980. 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:

8406 SIX FORKS RD STE 104
RALEIGH, NC
ZIP 27615-075
Phone: (919) 424-6045
Fax: (617) 807-0958

The enumeration date for this NPI number is 2/22/2021 and was last updated on 2/22/2021.

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 HealthS8258NORTH CAROLINAYes

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: 3/30/2025

NPI Synchronization or Removal

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