MS. MALLORY ROSE DEVONA (NPI# 1861876211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861876211 |
| Entity Type | Individual |
| Full Name | MS. MALLORY ROSE DEVONA |
| Credential | MS, NCC, LPC |
| Practice Address |
2 Leary Dr Waterford CT 06385 |
| Mailing Address |
2 Leary Dr Waterford CT 06385-3707 |
| Practice Telephone | 8608574769 |
| Mailing Telephone | 8608574769 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2789 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008060321 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 47 Town St, Norwich, CT 063602323 | 8608927042 |
| Street Address |
2 LEARY DR |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| 1932472651 | Audra Guadalupe Keele | Massage Therapist | 86 Boston Post Rd Ste 1, Waterford, CT 06385 | 2012-02-10 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1750895736 | Cindy Lynn Mcgraw | Counselor | 3455 Whitfield Dr, Waterford, MI 48329-1159 | 2017-11-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1588055057 | Goods Counseling Services LLC | Counselor | 412 High St., Waterford, PA 16441 | 2015-02-05 |
| 1235527334 | Nadia Dakoske | Counselor | 7178 Magnolia Ln, Waterford, MI 48327-4421 | 2014-12-26 |
| 1083963375 | Jeanette Elaine Owens | Counselor | 3525 Elizabeth Lake Rd, Waterford, MI 48328-3087 | 2012-09-03 |
| 1164660858 | Wendy Shawn Cook | Counselor | 2891 Reflection Ave, Waterford, MI 48328-2675 | 2009-02-03 |
| 1588706972 | Timothy J Teague | Counselor | 16159 Hamilton Station Rd, Waterford, VA 20197-1106 | 2007-02-13 |
| 1043395684 | John M Gonzalez | Counselor | 567 Vauxhall Street Ext. Suite 207, Waterford, CT 06385 | 2006-10-25 |
| 1245864099 | Kathryn Anne Marburger | Counselor | 1255 N Oakland Blvd, Waterford, MI 48327-1545 | 2020-03-02 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.