Provider Demographics
NPI:1114789708
Name:MALLIN COUNSELING LLC
Entity Type:Organization
Organization Name:MALLIN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-802-8695
Mailing Address - Street 1:900 ELDON DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4014
Mailing Address - Country:US
Mailing Address - Phone:402-802-8695
Mailing Address - Fax:
Practice Address - Street 1:900 ELDON DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4014
Practice Address - Country:US
Practice Address - Phone:402-802-8695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health