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Mallory Davis
Mental Health Counselor in Tampa, Florida
NPI 1952939605

Mallory Davis is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Mallory Davis practices in Tampa, FL. The NPI Number for Mallory Davis is 1952939605 and holds a License No. IMH15585 (Florida).

The current practice location address for Mallory Davis is 3550 W Waters Ave Ste 102, Tampa, FL and can be reached out via phone at 813-417-7963.

Location: 3550 W Waters Ave Ste 102, Tampa, FL, 33619-0806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952939605
Provider Name
Mallory Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3550 W Waters Ave Ste 102, Tampa, FL, 33619-0806
Phone Number
813-417-7963
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3550 W Waters Ave Ste 102
City
Tampa
State
Florida
Zip
33614-2767
Phone Number
813-417-7963
Fax Number
person
Provider Business Mailing Address Details
Address
3550 W Waters Ave Ste 102
City
Tampa
State
Florida
Zip
33614-2767
Phone Number
813-417-7963
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH15585 (Florida)
Definition
Definition to come...
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