Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295206639 Individual Practitioner Female Practitioner

Mallory Hudson

Counselor - Professional • Augusta, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mallory Hudson is a registered healthcare professional specializing in Counselor - Professional in Augusta, GA. Official NPI practice address is registered at 519 BLACKBURN DR STE 523.

Practice Location & Contact Primary Location

Practice Address

519 Blackburn Dr Ste 523

Augusta, GA 309078202

Telephone 7065247134
Associated Practice Facility / Clinic
🏢 Evolve Managed Care Solutions Facility NPI 1336843499

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
195 Specialists

Practicing in Augusta, GA (6655 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 014929

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Secondary Practice Locations

431 W Martintown Rd

North Augusta, SC 298413187

Phone: 8032780880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Morgan Lueck

Marriage & Family Therapist

NPI 1083097455
Vanessa Icazbalceta-Soto

Counselor - Professional

NPI 1083264519
Dr. Jennifer Logan , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194335620

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Leah Richards , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336921709

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 16, 2024

Registered at 519 BLACKBURN DR STE 523, AUGUSTA, GA 309078202 (Tel: 7065247134)

📍
Updated Practice Location February 27, 2020

Registered at 431 W MARTINTOWN RD, NORTH AUGUSTA, SC 298413187 (Tel: 8032780880)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2020

Counselor

NPI Profile Active December 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2018

Registered at 3830 WASHINGTON RD, AUGUSTA, GA 309075064 (Tel: 7622227629)

📍
Updated Business Mailing Address December 11, 2018

Registered at 1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 372172679 (Tel: 6156952277)

👤
Provider Name / Credentials Updated December 11, 2018

Recorded as MALLORY HUDSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295206639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2018
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

1321 Murfreesboro Pike Ste 702

Nashville, TN 372172679

Phone: 6156952277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.