Individual
TIMOTHY MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT-A
Contact information
Practice address
447 E 38TH ST, INDIANAPOLIS, IN 46205-2622
(815) 751-2861
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000448A
IN
Other
Enumeration date
11/04/2021
Last updated
09/24/2025
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