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

Polly Mathews Mallory, LPC

Individual provider Counselor · NPI 1750171765

Polly Mathews Mallory, LPC is a Counselor in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

185 N West Temple Apt 403
Salt Lake City, UT 84103-1563
Phone: (248) 330-2737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401006097 (MI)

Record details

NPI number1750171765
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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