Active NPI
Mallory Wood, ALC
- Counselor
- Hoover, AL
National Provider Identifier
1407679772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALC04992
- Practice address
- 1314 Alford Ave Ste 102
Hoover, AL 35226-3169 - Phone
- (205) 775-7715
- NPI assigned
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALC04992 | AL | Primary |
Addresses
Primary practice location
1314 Alford Ave Ste 102
Hoover, AL 35226-3169
Mailing address
3545 Grandview Pkwy Apt 308
Birmingham, AL 35243-2073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04992 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1407679772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 GRANDVIEW PKWY APT 308",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 ALFORD AVE STE 102",
"city": "HOOVER",
"state": "AL",
"postal_code": "352263169",
"telephone_number": "205-775-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MALLORY",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALC04992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.