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Ms. Mallori Nicole Mangus-hayden, LPC
Mental Health Counselor in Odessa, Texas
NPI 1740395193

Mallori Nicole Mangus-hayden is a Mental Health Counselor based in Odessa, TX and is specialized in Mental Health. Mallori Nicole Mangus-hayden practices in Odessa, TX and has the professional credentials of LPC. The NPI Number for Mallori Nicole Mangus-hayden is 1740395193 and holds a License No. 20187 (Texas).

The current practice location address for Mallori Nicole Mangus-hayden is 2458 E 11Th St, Odessa, TX and can be reached out via phone at 432-582-2444 and via fax at 432-582-2449.

Location: 2458 E 11Th St, Odessa, TX, 79761-4236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740395193
Provider Name
Mallori Nicole Mangus-hayden
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2458 E 11Th St, Odessa, TX, 79761-4236
Phone Number
432-582-2444
Fax Number
432-582-2449
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179089101 05 TX
institution
Provider Business Practice Location Address Details
Address
2458 E 11Th St
City
Odessa
State
Texas
Zip
79761-4236
Phone Number
432-582-2444
Fax Number
432-582-2449
person
Provider Business Mailing Address Details
Address
2458 E 11Th St
City
Odessa
State
Texas
Zip
79761-4236
Phone Number
432-582-2444
Fax Number
432-582-2449
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
20187 (Texas)
Definition
Definition to come...
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