Dr Crystal Malloy, PHD, LPC, MAC, CEAP | |
174 Scholar Rd, Guyton, GA 31312-6240 | |
(337) 396-5592 | |
Not Available |
Full Name | Dr Crystal Malloy |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 174 Scholar Rd, Guyton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679958771 | NPI | - | NPPES |
Entity Name | Diversity Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326594714 PECOS PAC ID: 9638261910 Enrollment ID: O20110810000508 |
Mailing Address | Practice Location Address |
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Dr Crystal Malloy, PHD, LPC, MAC, CEAP 174 Scholar Rd, Guyton, GA 31312-6240 Ph: (337) 205-9357 | Dr Crystal Malloy, PHD, LPC, MAC, CEAP 174 Scholar Rd, Guyton, GA 31312-6240 Ph: (337) 396-5592 |
Lauren Horton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Royal Oak Dr, Guyton, GA 31312 Phone: 912-675-5348 | |
Kristal Gill, RN BSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Myrtlewood Dr, Guyton, GA 31312 Phone: 912-666-9689 | |
Shannon Bragg Jones, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Floyd Ave, Guyton, GA 31312 Phone: 912-659-7901 | |
Tanja Supon-clause, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Cotton Bluff Ct, Guyton, GA 31312 Phone: 912-433-5099 | |
Dr. Soneisha Monay Ling, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Blackberry Cir, Guyton, GA 31312 Phone: 912-323-7287 |