Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony Mallard, LPC

Individual provider Professional Counselor · NPI 1942560412

Ebony Mallard, LPC is a Professional Counselor in Brookhaven, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2801 Buford Hwy NE Ste 501
Brookhaven, GA 30329-2137
Phone: (404) 491-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC006830 (GA)

Record details

NPI number1942560412
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 18, 2012
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address2609 Waterdale Rd Sw, Atlanta, GA 30331-8125

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