MALLORY BROOKE PETERMAN LPC-A
NPI 1427752500
Counselor - Professional in Fort Worth, TX

Active since March 30, 2023
1751 RIVER RUN STE 200, FORT WORTH, TX 76107(817) 201-0885 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Brooke Peterman Lpc-a NPPES

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

MALLORY BROOKE PETERMAN LPC-A (NPI 1427752500) is an individual professional provider in Fort Worth, Texas, licensed in Texas (87951) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1427752500
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMALLORY BROOKE PETERMANCredential: LPC-A
Location Address1751 RIVER RUN STE 200Fort Worth, TX 76107-6670
Mailing Address424 Lovelock DrFort Worth, TX 76108-7709 · (817) 201-0885
Sole ProprietorNo
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1427752500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 87951
1751 RIVER RUN STE 200, Fort Worth, TX 76107

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.

Behavior Technician
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Counselor (Mental Health)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Counselor (Professional)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Nutritionist
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Counselor (Mental Health)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Psychologist (Counseling)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Marriage & Family Therapist
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Psychologist
1751 RIVER RUN STE 200
FORT WORTH, TX 76107

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 Peterman's NPI number?

The NPI number for Mallory Peterman is 1427752500. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Mallory Peterman located?

Mallory Peterman practices at 1751 River Run Ste 200, Fort Worth, TX 76107. The listed phone number is (817) 201-0885.

What is Mallory Peterman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mallory Peterman was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.