Dr Crystal Malloy PHD Lpc Mac Ceap LLC

NPI #1235099276 in Guyton, Georgia

Provider Information

NPI Number: 1235099276
Entity Type: Organization
Organization Name: Dr Crystal Malloy PHD Lpc Mac Ceap LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 13, 2025
Last Updated: Nov 13, 2025

Practice Location

Address: 174 SCHOLAR RD
City: Guyton
State: Georgia
ZIP Code: 31312-6240
Phone: (337) 396-5592

Authorized Official

Name: DR. CRYSTAL MALLOY, PHD, LPC, MAC, CEAP
Title: DIRECTOR/OWNER
Phone: (337) 396-5592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist - Adult Development & Aging — Adult Development & Aging	103TA0700X
Psychologist - Psychoanalysis — Psychoanalysis	103TP0814X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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