| Mallory Fountain, Pllc | |
|
8778 Long Lake Dr E Scotts MI 49088-8719 | |
| (269) 370-9074 | |
| Not Available |
| Full Name | Mallory Fountain, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8778 Long Lake Dr E, Scotts, Michigan |
| Authorized Official Name and Position | Mallory Fountain (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2693709074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Fountain, Pllc 8778 Long Lake Dr E Scotts MI 49088-8719 Ph: (269) 370-9074 | Mallory Fountain, Pllc 8778 Long Lake Dr E Scotts MI 49088-8719 Ph: (269) 370-9074 |
| NPI Number | 1275492191 |
|---|---|
| Provider Enumeration Date | 01/16/2026 |
| Last Update Date | 01/16/2026 |
| Certification Date | 01/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275492191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |