Provider Demographics
NPI:1962831792
Name:B.L. MALONE & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:B.L. MALONE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, ACSW
Authorized Official - Phone:256-770-7339
Mailing Address - Street 1:114 W 10TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-5614
Mailing Address - Country:US
Mailing Address - Phone:256-770-7339
Mailing Address - Fax:256-770-7338
Practice Address - Street 1:114 W 10TH ST STE D
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-5614
Practice Address - Country:US
Practice Address - Phone:256-770-7339
Practice Address - Fax:256-770-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0772B1041C0700X
AL21106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty