Mallard, Ebony
Mallard, Ebony is an sole proprietor health care provider with primary practice located at 2801 Buford Hwy Ne Ste 501 , Brookhaven GA 30329-2137. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mallard, Ebony can be contacted via phone (404) 491-0377.Contact Information
Primary practice address
2801 Buford Hwy Ne Ste 501
Brookhaven GA 30329-2137
Phone: (404) 491-0377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC006830 | Georgia |
Profile Details
| NPI number | 1942560412 |
|---|---|
| LBN Legal business name | Mallard, Ebony |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2012 |
| Last updated | Mar 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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