PAUL DOUGLAS MALLAMO LAC
NPI 1346832250
Counselor - Addiction (Substance Use Disorder) in Olathe, KS
Active since February 11, 2021
About Paul Douglas Mallamo Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL DOUGLAS MALLAMO LAC (NPI 1346832250) is an individual addiction (substance use disorder) provider in Olathe, Kansas, licensed in Kansas (1677) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1346832250
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePAUL DOUGLAS MALLAMOCredential: LAC
Location Address1009 E OLD HIGHWAY 56Olathe, KS 66061-4969
Mailing Address1601 Old South River RdSaint Charles, MO 63303-4120 · (636) 224-1210 · Fax (636) 246-1008
Phone(913) 764-7555
Fax(913) 764-0739
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1346832250 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 KS · 1677
1009 E OLD HIGHWAY 56, Olathe, KS 66061
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1009 E OLD HIGHWAY 56
OLATHE, KS 66061
OLATHE, KS 66061
Counselor (Addiction (Substance Use Disorder))
1009 E OLD HIGHWAY 56
OLATHE, KS 66061
OLATHE, KS 66061
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346832250, enumerated as an "individual" on February 11, 2021.
The provider is located at 1009 E OLD HIGHWAY 56 OLATHE, KS 66061 and the phone number is (913) 764-7555.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
