Active NPI
Armonda L. Mallory, M.F.T.
- Marriage & Family Therapist
- Columbus, MS
National Provider Identifier
1972651156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- TO483
- Practice address
- 140 Brickerton St
Columbus, MS 39701-3608 - Phone
- (662) 769-9439
- Fax
- (662) 368-8261
- NPI assigned
- Jan 6, 2007
- Last updated
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | TO483 | MS | Primary |
Addresses
Primary practice location
140 Brickerton St
Columbus, MS 39701-3608
Mailing address
908 Jolly Rd
Columbus, MS 39705-2993
Phone (662) 769-9439
Other names 1
- Ms. Mondi L. Mallory
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 |
|---|---|---|---|
| TO483 | MS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1972651156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 JOLLY RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052993",
"telephone_number": "662-769-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BRICKERTON ST",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397013608",
"telephone_number": "662-769-9439",
"fax_number": "662-368-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY",
"first_name": "ARMONDA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MS",
"license": "TO483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONDI",
"last_name": "MALLORY",
"middle_name": "L.",
"prefix": "MS.",
"credential": "M.F.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.