RODNEY MALLORY
NPI 1194312108
Counselor in Stone Mountain, GA

Q: What is Rodney Mallory's NPI number?

The NPI number for Rodney Mallory is 1194312108. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Q: What is Rodney Mallory's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rodney Mallory was last updated on December 23, 2020. 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.

Active since December 23, 2020

2300 W PARK PL STE 135, STONE MOUNTAIN, GA 30087(678) 330-1400(678) 330-1405 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rodney Mallory NPPES

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

RODNEY MALLORY (NPI 1194312108) is an individual counselor in Stone Mountain, Georgia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1194312108

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameRODNEY MALLORY

Location Address2300 W PARK PL STE 135Stone Mountain, GA 30087-3561

Mailing Address5665 Southland DrStone Mountain, GA 30087-5272 · (678) 478-2559

Phone(678) 330-1400

Fax(678) 330-1405

Sole ProprietorYes

Enumeration DateDecember 23, 2020

NPPES CertifiedDecember 23, 2020

✔ NPI 1194312108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2300 W PARK PL STE 135, Stone Mountain, GA 30087

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Other Providers at the Same Location NPPES 2

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

ELLIE D. MOODY

Counselor (Addiction (Substance Use Disorder))

2300 W PARK PL STE 135
STONE MOUNTAIN, GA 30087

Dekalb County (678) 330-1400

MS. TIFFANY M JAMES

Counselor (Mental Health)

2300 W PARK PL STE 135
STONE MOUNTAIN, GA 30087

Dekalb County (678) 330-1400

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 Rodney Mallory's NPI number?

The NPI number for Rodney Mallory is 1194312108. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Rodney Mallory located?

Rodney Mallory practices at 2300 W Park Pl Ste 135, Stone Mountain, GA 30087. The listed phone number is (678) 330-1400.

What is Rodney Mallory'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 Rodney Mallory was last updated on December 23, 2020. 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.