Doctor Name: | MISS ROLANDA DENISE MALLOY |
NPI Number: | 1437355344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 315 C South Long Drive Rockingham, NC - 28379 |
Business Phone Number: | 9109975477 |
Business Fax Number: | 9109975290 |
Mailing Address: | 112 Greenland Rd, ELLERBE |
State: | NC |
Postal Code: | 283389127 |
Phone Number: | 9103345819 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |