Mallori Nicole Mangus-Hayden in Odessa - Mental Health
Mallori Nicole Mangus-Hayden - NPI 1740395193
Mallori Nicole Mangus-Hayden is a Mental Health in Odessa, Texas. Mallori Nicole Mangus-Hayden practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mallori Nicole Mangus-Hayden is 1740395193. The last update date is 2015-05-22.
Mallori Nicole Mangus-Hayden's current location address is 2458 E 11th St, Odessa, Texas. You can contact this provider via phone number 4325822444 and fax number 4325822449. The mailing address for Mallori Nicole Mangus-Hayden is 2458 E 11th St, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mallori Nicole Mangus-Hayden |
|---|---|
| Address | 2458 E 11th St, Odessa, Texas |
| Phone Number | 4325822444 |
| Fax Number | 4325822449 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1740395193 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2015-05-22 |
Provider Mailing Address Detail
| Address | 2458 E 11th St |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797614236 |
| Phone Number | 4325822444 |
| Fax Number | 4325822449 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 20187 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 179089101 | TX | -- |
Post Comment/ Review Below
What is the Mallori Nicole Mangus-Hayden's 1740395193?
The Mallori Nicole Mangus-Hayden's NPI (National Provider Identifier) Number is 1740395193. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mallori Nicole Mangus-Hayden's physical address?
The Mallori Nicole Mangus-Hayden is physically located at 2458 E 11Th St, in the city of Odessa, TX, with the postal code 797614236.
What is Mallori Nicole Mangus-Hayden's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mallori Nicole Mangus-Hayden is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
When was the Mallori Nicole Mangus-Hayden's 1740395193 issued?
The Mallori Nicole Mangus-Hayden's 1740395193 was issued on 2006-08-19.
When was the information regarding Mallori Nicole Mangus-Hayden most recently updated?
The details pertaining to the Mallori Nicole Mangus-Hayden, including its address, specialty, and other relevant information, were last refreshed on 2015-05-22.