Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY WALLACE
Active Sole ProprietorMALLORY WALLACE is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in CINCINNATI, Ohio. NPI 1972207504 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · CINCINNATI, OH
Registration Details
- NPI Number
- 1972207504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2023 (3.411049450017 yrs)
- Last Updated
- Mar 28, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
8725 BROOKS CREEK DR APT 2125CINCINNATI, OH, 452492089Browse OH providers · Browse ZIP 45249
- Phone
- 4243335672
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in CINCINNATI, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. STEPHENIE KATHRYN SETA | — | 1588874705 |
| ANITRA L RICHARDSON | — | 1154846095 |
| TONYA N JALLOW | — | 1386357838 |
| YONDA D HARRELL | — | 1871298091 |
| QUAMONA LYNN-RENEE WALKER | — | 1588431803 |
| BYNASIA THOMAS | — | 1558126953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.