Individual provider · Type 1 NPI

Eleanor Mallory, LPC

Mental Health Counselor · Decatur, GA

NPI number 1902669260 Active

Practice location

445 Winn Way
Decatur, GA 30030-1707

Mailing address

PO Box 1648
Decatur, GA 30031-1648

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC014385 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1902669260

Eleanor Mallory, LPC's National Provider Identifier is 1902669260, issued on Jan 31, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Jan 31, 2024.