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

Laura Mallory

Individual provider Professional Counselor · NPI 1215103593

Laura Mallory is a Marriage and Family Therapist in Turlock, California. Qualified in 2011, 15 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

420 E Canal Dr
Turlock, CA 95380-3936
Phone: (209) 669-2583
Fax: (209) 669-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 103976 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 67740 (CA)

Record details

NPI number1215103593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2008
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address420 E Canal Dr, Turlock, CA 95380-3936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Turlock