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LARRY MALLORY LCDCII
NPI 1134655640
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since May 03, 2017
1515 E BROAD ST, COLUMBUS, OH 43205(614) 251-0711 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Mallory Lcdcii NPPES

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

LARRY MALLORY LCDCII (NPI 1134655640) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (976259) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1134655640
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLARRY MALLORYCredential: LCDCII
Location Address1515 E BROAD STColumbus, OH 43205-1550
Mailing Address9902 Hoover Woods RdGalena, OH 43021-9482 · (740) 815-4739
Phone(614) 251-0711
Sole ProprietorYes
Enumeration DateMay 3, 2017
✔ NPI 1134655640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 976259
1515 E BROAD ST, Columbus, OH 43205
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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.

JOHNNY TURNER
Specialist
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 495-7970
DENNIS SUMLIN
Specialist
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 623-8225
MARY ANNIS KIRKMAN LISW-S
Social Worker (Clinical)
1515 E BROAD ST, 889 E, BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 251-7723
MEGAN SHAW
Licensed Practical Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 437-9797
MICHELLE STARNER
Licensed Practical Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 437-9797
PATRICIA A BOYKINS RN
Registered Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 252-0711
MICHELLE ROGERS
Specialist
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 569-7736
MELISSA JACKSON
Licensed Practical Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Franklin County (614) 437-9797

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 Larry Mallory's NPI number?

The NPI number for Larry Mallory is 1134655640. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Larry Mallory located?

Larry Mallory practices at 1515 E Broad St, Columbus, OH 43205. The listed phone number is (614) 251-0711.

What is Larry Mallory's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larry Mallory was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.