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

Mallory Marie Colegrove

Individual provider Mental Health Counselor · NPI 1518719855

Mallory Marie Colegrove is a Mental Health Counselor in Myrtle Beach, South Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

152 Maggie Way
Myrtle Beach, SC 29588-1905
Phone: (630) 987-9342
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1518719855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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