Mallory, Kristen
Mallory, Kristen is an sole proprietor health care provider with primary practice located at 3801 Canal St Ste 220 , New Orleans LA 70119. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Mallory, Kristen can be contacted via phone (504) 482-2735.Contact Information
Primary practice address
3801 Canal St Ste 220
New Orleans LA 70119
Phone: (504) 482-2735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 11834 | Louisiana |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1881939338 |
|---|---|
| LBN Legal business name | Mallory, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2012 |
| Last updated | Aug 20th, 2018 - about 8 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 | 1881939338 | NPPES |
| Louisiana | MEDICAID | 7082416 |
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