Provider Demographics
NPI:1295505048
Name:MALONE, MALORIE MICHELLE (MA)
Entity type:Individual
Prefix:
First Name:MALORIE
Middle Name:MICHELLE
Last Name:MALONE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 LONE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:POTTSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75076-4982
Mailing Address - Country:US
Mailing Address - Phone:903-815-4971
Mailing Address - Fax:
Practice Address - Street 1:1800 TEAGUE DR STE 510
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2656
Practice Address - Country:US
Practice Address - Phone:469-215-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health