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

Mrs. Mallory Marra

Individual provider Mental Health Counselor · NPI 1174345854

Mrs. Mallory Marra is a Mental Health Counselor in Charleston, South Carolina. Licensed in District of Columbia, Maryland, Pennsylvania and South Carolina. Registered with an NPI since 2024.

Licensed in
DC, MD, PA, SC
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

18 Sothel Ave
Charleston, SC 29407-7320
Phone: (443) 562-8242
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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 · Licence LC15341 (MD)
Professional Counselor Taxonomy 101YP2500X · Licence PC019497 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence 9722 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence PRC200012642 (DC)

Record details

NPI number1174345854
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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