MALLORY LOUISE BROGDON MHPP
NPI 1205087988
Counselor in Bentonville, AR

Q: What is Mallory Brogdon's NPI number?

The NPI number for Mallory Brogdon is 1205087988. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Q: What is Mallory Brogdon'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 Mallory Brogdon was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 01, 2008

2508 SE 20TH STREET, BENTONVILLE, AR 72712(479) 750-2020(479) 750-8967 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mallory Louise Brogdon Mhpp NPPES

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

MALLORY LOUISE BROGDON MHPP (NPI 1205087988) is an individual counselor in Bentonville, Arkansas and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1205087988

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMALLORY LOUISE BROGDONCredential: MHPP

Location Address2508 SE 20TH STREETBentonville, AR 72712

Mailing Address2400 S. 48th StreetSpringdale, AR 72762 · (479) 750-2020 · Fax (479) 750-8967

Phone(479) 750-2020

Fax(479) 750-8967

Sole ProprietorNo

Enumeration DateOctober 1, 2008

Last NPPES UpdateMay 24, 2011

✔ NPI 1205087988 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.

2508 SE 20TH STREET, Bentonville, AR 72712

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Other Providers at the Same Location NPPES

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

ERICA MARY BOUGHFMAN LPC

Counselor (Mental Health)

2508 SE 20TH STREET
BENTONVILLE, AR 72712

Benton County (479) 750-2020

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 Brogdon's NPI number?

The NPI number for Mallory Brogdon is 1205087988. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Mallory Brogdon located?

Mallory Brogdon practices at 2508 SE 20th Street, Bentonville, AR 72712. The listed phone number is (479) 750-2020.

What is Mallory Brogdon'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 Brogdon was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.