Mallory M Bitterman
Individual provider Active NPI Mental Health Counselor · Wilmore, KY
NPI 1356800577 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1356800577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 124 Asbury Dr
Wilmore, KY 40390-1115 - Phone
- (765) 480-3259
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
124 Asbury Dr
Wilmore, KY 40390-1115
Mailing address
124 Asbury Dr
Wilmore, KY 40390-1115
Phone (765) 480-3259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1256 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mallory.bitterman@asburyseminary.edu |
Other providers in Wilmore, KY
- Mollie E. Aleshire
- Asbury University
- Katelyn E Bailey
- Sarah Beeghly
- John Norwood Chapman
- Christopher Alex Clark
- Joel Ellis Clark
- Thomas Fred Coburn
- Rebecca R Cole
All providers in Wilmore, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.