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

Larry Mallory, LCDCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134655640

Larry Mallory, LCDCII is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

1515 E Broad St
Columbus, OH 43205-1550
Phone: (614) 251-0711
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 976259 (OH)

Record details

NPI number1134655640
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCII
Sole proprietorYes
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 3, 2017

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