MALLORY BROOKE PETERMAN LPC-A
NPI 1427752500
Counselor - Professional in Fort Worth, TX
- Individual
- Female
- Counselor
- Professional
About MALLORY PETERMAN
This page provides the complete NPI Profile along with additional information for Mallory Peterman, a provider established in Fort Worth, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1427752500 assigned on March 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 87951 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1427752500 Verify this NPI
- Provider Name
- MALLORY BROOKE PETERMAN LPC-A
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1751 RIVER RUN STE 200 FORT WORTH, TX 76107
- Location Phone
- (817) 201-0885
- Mailing Address
- 424 LOVELOCK DR FORT WORTH, TX 76108
- Mailing Phone
- (817) 201-0885
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-30-2023
- Last Update Date
- 03-30-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 87951
- License State
- TX
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT WORTH, TX 76107
FORT WORTH, TX 76107
FORT WORTH, TX 76107
FORT WORTH, TX 76107
FORT WORTH, TX 76107
FORT WORTH, TX 76107
FORT WORTH, TX 76107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427752500, enumerated as an "individual" on March 30, 2023.
The provider is located at 1751 RIVER RUN STE 200 FORT WORTH, TX 76107 and the phone number is (817) 201-0885.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
