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GWENDOLYN MALLORY QMHA
NPI 1225666597
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV

Active since March 31, 2020
4550 W SAHARA AVE APT 1241, LAS VEGAS, NV 89102(909) 600-8373 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2020, Mar 31, 2020 (2 updates tracked since 2020).

About Gwendolyn Mallory Qmha NPPES

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

GWENDOLYN MALLORY QMHA (NPI 1225666597) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Nevada (02632-I) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1225666597
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGWENDOLYN MALLORYCredential: QMHA
Location Address4550 W SAHARA AVE APT 1241Las Vegas, NV 89102-3648
Mailing Address4550 W Sahara Ave Apt 1241Las Vegas, NV 89102-3648 · (909) 600-8373
Phone(909) 600-8373
Sole ProprietorYes
Enumeration DateMarch 31, 2020
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1225666597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 02632-I
4550 W SAHARA AVE APT 1241, Las Vegas, NV 89102
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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 Gwendolyn Mallory's NPI number?

The NPI number for Gwendolyn Mallory is 1225666597. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Gwendolyn Mallory located?

Gwendolyn Mallory practices at 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102. The listed phone number is (909) 600-8373.

What is Gwendolyn Mallory's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Mallory was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.