Andrews, Mallory
Andrews, Mallory is an sole proprietor health care provider with primary practice located at 7650 Chippewa Rd Ste 310 , Brecksville OH 44141-2319. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Andrews, Mallory can be contacted via phone (216) 716-7777.Contact Information
Primary practice address
7650 Chippewa Rd Ste 310
Brecksville OH 44141-2319
Phone: (216) 716-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I.1901497 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1901497 | Ohio |
Profile Details
| NPI number | 1568019651 |
|---|---|
| LBN Legal business name | Andrews, Mallory |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2019 |
| Last updated | Dec 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568019651 | NPPES |
| Ohio | MEDICAID | 0366745 |
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