DR. CRYSTAL MALLOY PHD LPC MAC CEAP NPI 1679958771

NPI Information

NPI: 1679958771
Provider Name: DR. CRYSTAL MALLOY, PHD, LPC, MAC, CEAP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
174 SCHOLAR RD
GUYTON, GA
ZIP 31312
Phone: (337) 396-5592
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DR. Crystal Malloy, PHD, LPC, MAC, CEAP is a professional counselor in Guyton, GA with 33 years of experience. DR. Crystal Malloy, PHD, LPC, MAC, CEAP NPI is 1679958771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

174 SCHOLAR RD
GUYTON, GA
ZIP 31312-240
Phone: (337) 396-5592

The NPI 1679958771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 11/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YP2500X	Counselor	Professional	6233	LOUISIANA	No
3	106H00000X	Marriage & Family Therapist		LPC08241	GEORGIA	No
4	221700000X	Art Therapist		LPC8241	GEORGIA	No
5	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	LPC008241	GEORGIA	No
6	225A00000X	Music Therapist		LC008241	GEORGIA	No
7	101YP2500X	Counselor	Professional	LPC008241	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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