MS. MALLORY ROSE DEVONA MS, NCC, LPC
NPI 1861876211
Counselor in Waterford, CT

Q: What is Mallory Devona's NPI number?

The NPI number for Mallory Devona is 1861876211. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Mallory Devona'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 Devona was last updated on July 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 15, 2015

2 LEARY DR, WATERFORD, CT 06385(860) 857-4769 Get Directions Write a Review

NPPES record last updated: July 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Mallory Rose Devona Ms, Ncc, Lpc NPPES

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

MS. MALLORY ROSE DEVONA MS, NCC, LPC (NPI 1861876211) is an individual counselor in Waterford, Connecticut, licensed in Connecticut (2789) and active in the NPI registry since July 2015. She maintains a secondary practice location in Norwich.

NPPES Registry Identity

NPI1861876211

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. MALLORY ROSE DEVONACredential: MS, NCC, LPC

Location Address2 LEARY DRWaterford, CT 06385

Mailing Address2 Leary DrWaterford, CT 06385-3707 · (860) 857-4769

Phone(860) 857-4769

Sole ProprietorNo

Enumeration DateJuly 15, 2015

Last NPPES UpdateJuly 29, 2018

✔ NPI 1861876211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CT · 2789

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.

2 LEARY DR, Waterford, CT 06385

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Secondary Practice Location 1

Location 147 Town StNorwich, CT 06360-2323 · Phone (860) 892-7042

Other Identifiers 1

Medicaid008060321CT

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 Devona's NPI number?

The NPI number for Mallory Devona is 1861876211. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Mallory Devona located?

Mallory Devona practices at 2 Leary Dr, Waterford, CT 06385. The listed phone number is (860) 857-4769.

What is Mallory Devona'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 Devona was last updated on July 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.