Provider Demographics
NPI:1174895106
Name:MALONE COUNSELING
Entity type:Organization
Organization Name:MALONE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:402-310-0133
Mailing Address - Street 1:4535 NORMAL BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5576
Mailing Address - Country:US
Mailing Address - Phone:402-310-0133
Mailing Address - Fax:
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5576
Practice Address - Country:US
Practice Address - Phone:402-310-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025627600Medicaid