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Active NPI 1942560412 Individual Practitioner Female Practitioner

Ebony Mallard , LPC

Counselor - Professional • Brookhaven, GA

Professional Overview & Biography Verified Profile Summary

Ebony Mallard, LPC is a registered healthcare professional specializing in Counselor - Professional in Brookhaven, GA. Practice services are available at 2801 BUFORD HWY NE STE 501 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2801 Buford Hwy Ne Ste 501

Brookhaven, GA 303292137

Telephone 4044910377
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Brookhaven, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Brookhaven, GA (6655 Statewide)

Telehealth Adoption Rate
10.5% 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: 2025-03-11
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC006830

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
Margaret Lipham , LCSW

Social Worker - Clinical

NPI 1417549809

Licensed Clinical Social Worker

Patricia Drerup-Cotter , LPC

Counselor - Professional

NPI 1598864415

Licensed Professional Counselor

James Kingman , MS

Counselor - Mental Health

NPI 1770934523

Master of Science

Kimberly Black

Marriage & Family Therapist

NPI 1851008932

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 11, 2025

Registered at 2801 BUFORD HWY NE STE 501, BROOKHAVEN, GA 303292137 (Tel: 4044910377)

📍
Updated Business Mailing Address March 11, 2025

Registered at 2609 WATERDALE RD SW, ATLANTA, GA 303318125

👤
Provider Name / Credentials Updated March 11, 2025

Recorded as EBONY MALLARD, LPC

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2012

Registered at 747 RALPH MCGILL BLVD NE, #1554, ATLANTA, GA 303121127 (Tel: 4042740988)

📍
Updated Business Mailing Address August 09, 2012

Registered at 747 RALPH MCGILL BLVD NE, #1554, ATLANTA, GA 303121127

👤
Provider Name / Credentials Updated August 09, 2012

Recorded as EBONY HUCKABEE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Counselor (License #LPC006830 in GA)

🟢
Initial NPI Registration & Enumeration May 18, 2012

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: 1942560412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2012
Last Update: March 11, 2025
Sole Proprietor: Yes

Mailing Address

2609 Waterdale Rd Sw

Atlanta, GA 303318125

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.