Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. MALLORY MARRA
NPI 1174345854
Counselor - Mental Health in Charleston, SC

Active since October 24, 2024
18 SOTHEL AVE, CHARLESTON, SC 29407(443) 562-8242 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mallory Marra NPPES

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

MRS. MALLORY MARRA (NPI 1174345854) is an individual mental health provider in Charleston, South Carolina, licensed in Maryland (LC15341) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1174345854
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MALLORY MARRA
Location Address18 SOTHEL AVECharleston, SC 29407-7320
Mailing Address18 Sothel AveCharleston, SC 29407-7320 · (443) 562-8242
Sole ProprietorNo
Enumeration DateOctober 24, 2024
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
NPI 1174345854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MD · LC15341 Licensed in DC · PRC200012642
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC019497 (PA), 9722 (SC)
18 SOTHEL AVE, Charleston, SC 29407

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 Marra's NPI number?

The NPI number for Mallory Marra is 1174345854. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Mallory Marra located?

Mallory Marra practices at 18 Sothel Ave, Charleston, SC 29407. The listed phone number is (443) 562-8242.

What is Mallory Marra'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 Marra was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.