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MALLORY WALLACE
NPI 1972207504
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cincinnati, OH

Active since March 28, 2023
8725 BROOKS CREEK DR APT 2125, CINCINNATI, OH 45249(424) 333-5672 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Wallace NPPES

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

MALLORY WALLACE (NPI 1972207504) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Cincinnati, Ohio and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1972207504
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameMALLORY WALLACE
Location Address8725 BROOKS CREEK DR APT 2125Cincinnati, OH 45249-2089
Mailing Address8725 Brooks Creek Dr Apt 2125Cincinnati, OH 45249-2089
Phone(424) 333-5672
Sole ProprietorYes
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1972207504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
8725 BROOKS CREEK DR APT 2125, Cincinnati, OH 45249
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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 Mallory Wallace's NPI number?

The NPI number for Mallory Wallace is 1972207504. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Mallory Wallace located?

Mallory Wallace practices at 8725 Brooks Creek Dr Apt 2125, Cincinnati, OH 45249. The listed phone number is (424) 333-5672.

What is Mallory Wallace's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Mallory Wallace was last updated on March 28, 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.