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MALLORY OWENS MSW
NPI 1174972855
Counselor in Centralia, IL

Active since June 03, 2016
904 M L KING DR, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Owens Msw NPPES

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

MALLORY OWENS MSW (NPI 1174972855) is an individual counselor in Centralia, Illinois and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1174972855
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMALLORY OWENSCredential: MSW
Location Address904 M L KING DRCentralia, IL 62801-3058
Mailing Address904 M L King DrCentralia, IL 62801-3058 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Sole ProprietorNo
Enumeration DateJune 3, 2016
✔ NPI 1174972855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
904 M L KING DR, Centralia, IL 62801
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Other Identifiers 1

Medicaid370915481007IL

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.

ANDREA SLATER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
STEFFANY SLININGER
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
ASPIN WALTA
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. CARLIE MICHELLE KASTEN
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
XZAVIER DENTON
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
BROOKE DUNN
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
DAKOTA HUNTER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MISS MARIA GABRIELA DULLE MSED
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Owens's NPI number?

The NPI number for Mallory Owens is 1174972855. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Mallory Owens located?

Mallory Owens practices at 904 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Mallory Owens's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mallory Owens was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.