NPI 1013779842

Michelle Terry Mallen

Practitioner Mental Health Counselor Longwood, FL

Practice location

Address: 781 Ciara Creek Cv STE 1011, Longwood, FL 32750-4662
Phone: (407) 699-5824
Mailing address: 127 Hidden Arbor CT, Sanford, FL 32773-5560

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Florida →

Registry record

NPI: 1013779842
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2024
Record last updated: 26 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.