Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY MALLARD, LPC
Active Sole ProprietorEBONY MALLARD, LPC is a Professional Counselor healthcare provider located in BROOKHAVEN, Georgia. NPI 1942560412 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BROOKHAVEN, GA
Registration Details
- NPI Number
- 1942560412
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2012 (14.207006455179 yrs)
- Last Updated
- Mar 11, 2025
- License
-
LPC006830 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2801 BUFORD HWY NE STE 501BROOKHAVEN, GA, 303292137Browse GA providers · Browse ZIP 30329
- Phone
- 4044910377
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BROOKHAVEN, GA
| Name | Credential | NPI |
|---|---|---|
| MISS KEELY ROCHANDALEY FOSTER | LPC | 1720181753 |
| MS. PATRICIA LOUISE DRERUP-COTTER | LPC | 1598864415 |
| VICTORIA TAYLOR | — | 1508135674 |
| DR. MEGAN V BOYD | LPC, CPCS | 1154768083 |
| RUTH ANN COCHRAN | LPC | 1093101545 |
| TREAH CALDWELL | LPC | 1942684634 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.