Individual
DR. CRYSTAL MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, MAC, CEAP
Contact information
Practice address
174 SCHOLAR RD, GUYTON, GA 31312-6240
(337) 396-5592
Mailing address
174 SCHOLAR RD, GUYTON, GA 31312-6240
(337) 205-9357
(912) 250-6025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
6233
LA
101YP2500X
Professional Counselor
Primary
LPC008241
GA
106H00000X
Marriage & Family Therapist
LPC08241
GA
2080P0006X
Developmental - Behavioral Pediatrics Physician
LPC008241
GA
221700000X
Art Therapist
LPC8241
GA
225A00000X
Music Therapist
LC008241
GA
Other
Enumeration date
07/30/2015
Last updated
11/13/2025
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