Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwendolyn Mallory, QMHA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225666597

Gwendolyn Mallory, QMHA is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2020

Practice location Address checks out

4550 W Sahara Ave Apt 1241
Las Vegas, NV 89102-3648
Phone: (909) 600-8373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 02632-I (NV)

Record details

NPI number1225666597
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

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