person
Shanita Mallory, LPC
Mental Health Counselor in Virginia Beach, Virginia
NPI 1477185098

Shanita Mallory is a Mental Health Counselor based in Hampton, VA and is specialized in Mental Health. Shanita Mallory practices in Virginia Beach, VA and has the professional credentials of LPC. The NPI Number for Shanita Mallory is 1477185098 and holds a License No. 0704007981 (Virginia).

The current practice location address for Shanita Mallory is 900 Commonwealth Pl Ste 225, Virginia Beach, VA and can be reached out via phone at 757-895-7007.

Location: 900 Commonwealth Pl Ste 225, Virginia Beach, VA, 23666-4736
person
Provider Profile Details
NPI Number
1477185098
Provider Name
Shanita Mallory
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
900 Commonwealth Pl Ste 225, Virginia Beach, VA, 23666-4736
Phone Number
757-895-7007
Fax Number
Provider Enumeration Date
02/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Commonwealth Pl Ste 225
City
State
Zip
23464-4517
Phone Number
757-895-7007
Fax Number
person
Provider Business Mailing Address Details
Address
900 Commonwealth Pl Ste 225
City
State
Zip
23464-4517
Phone Number
757-895-7007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0704007981 (Virginia)
Definition
Definition to come...
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