Marjory Mallebranche, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH8083 Issued in FL

Practice address

2001 W Blue Heron Blvd
Riviera Beach, FL 33404-5003

Phone

(561) 841-3500

Fax

(561) 844-3577

NPI assigned

Jun 1, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1679893606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BLUE HERON BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334045003",
            "telephone_number": "561-841-3500",
            "fax_number": "561-844-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BLUE HERON BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334045003",
            "telephone_number": "561-841-3500",
            "fax_number": "561-844-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEBRANCHE",
        "first_name": "MARJORY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Madden, CPHT
• Kaitlin Madeira
• Marlon D Angelo Madison
• Andrea Syd Main, MPT
• Judith Marie Majewski, MD,MPH,
• Sean Malott, LMHC
• Mama Knowles Best Family Daycare LLC
• Epimaelene Portia Pasigna Mangila
• Linda Maniscalco
• Veronica Manzanares

• Mental Health Counselor in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.