Provider Demographics
NPI:1104264340
Name:HORGAN, MALLORY APRIL (LMHC)
Entity type:Individual
Prefix:
First Name:MALLORY
Middle Name:APRIL
Last Name:HORGAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-0216
Mailing Address - Country:US
Mailing Address - Phone:978-307-7004
Mailing Address - Fax:978-288-0232
Practice Address - Street 1:491 MASSACHUSETTS AVE STE 2
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-5114
Practice Address - Country:US
Practice Address - Phone:978-307-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor