CRISTAL MALLAH MA - NPI 1154906469 - Marriage & Family Therapist in Philadelphia, PA

Q: What is Cristal Mallah's NPI number?

The NPI number for Cristal Mallah is 1154906469. It was assigned to this individual provider in the NPPES registry on March 17, 2021. The provider is also known as Mrs. Kristelle Mallah.

Q: What is Cristal Mallah's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Cristal Mallah was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Cristal Mallah Ma NPPES

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

CRISTAL MALLAH MA (NPI 1154906469) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in (MF001088) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1154906469

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCRISTAL MALLAHCredential: MA

Location Address100 S BROAD ST STE 1920Philadelphia, PA 19110-1064

Mailing Address1213 Sycamore AveEaston, PA 18040-8234 · (215) 776-5076

Phone(267) 838-0066

Sole ProprietorYes

Enumeration DateMarch 17, 2021

NPPES CertifiedMarch 17, 2021

✔ NPI 1154906469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed · MF001088

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

100 S BROAD ST STE 1920, Philadelphia, PA 19110

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Other Names 1

Other Name (5)Mrs. Kristelle Mallah

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

ISABELL MARY HAN

Counselor (Mental Health)