Individual provider · Type 1 NPI

Ebony Mallard, LPC

Professional Counselor · Brookhaven, GA

NPI number 1942560412 Active

Practice location

2801 Buford Hwy NE Ste 501
Brookhaven, GA 30329-2137

Call (404) 491-0377 Map

Mailing address

2609 Waterdale Rd SW
Atlanta, GA 30331-8125

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006830 (GA)

Professional Counselor: Definition to come...

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About NPI 1942560412

Ebony Mallard, LPC's National Provider Identifier is 1942560412, issued on May 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookhaven, GA. The record was last updated on Mar 11, 2025.