MRS. MALLORY HARTMAN
NPI 1124404124
Counselor - Mental Health in Vienna, IL

Active since August 03, 2015
408 E VINE ST, VIENNA, IL 62995(618) 658-2611 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mallory Hartman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MALLORY HARTMAN (NPI 1124404124) is an individual mental health provider in Vienna, Illinois and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1124404124
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MALLORY HARTMAN
Location Address408 E VINE STVienna, IL 62995-1612
Mailing Address4301 Boskydell RdCarbondale, IL 62903-7610
Sole ProprietorNo
Enumeration DateAugust 3, 2015
NPI 1124404124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
408 E VINE ST, Vienna, IL 62995

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
408 E VINE ST
VIENNA, IL 62995
Counselor (Mental Health)
408 E VINE ST
VIENNA, IL 62995
Counselor
408 E VINE ST
VIENNA, IL 62995
Counselor (Mental Health)
408 E VINE ST
VIENNA, IL 62995
Counselor
408 E VINE ST
VIENNA, IL 62995
Counselor (Addiction (Substance Use Disorder))
408 E VINE ST
VIENNA, IL 62995
Counselor
408 E VINE ST
VIENNA, IL 62995
Counselor (Mental Health)
408 E VINE ST
VIENNA, IL 62995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Hartman's NPI number?

The NPI number for Mallory Hartman is 1124404124. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Mallory Hartman located?

Mallory Hartman practices at 408 E Vine St, Vienna, IL 62995. The listed phone number is (618) 658-2611.

What is Mallory Hartman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mallory Hartman was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.