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

Mrs. Mallory Hartman

Individual provider Mental Health Counselor · NPI 1124404124

Mrs. Mallory Hartman is a Mental Health Counselor in Vienna, Illinois. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

408 E Vine St
Vienna, IL 62995-1612
Phone: (618) 658-2611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1124404124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2015
Last updated in NPPESAugust 3, 2015
Mailing address4301 Boskydell Rd, Carbondale, IL 62903-7610

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