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DEBBIE MALLOY LLC
NPI 1417410168
Counselor - Professional in Carrollton, GA

Active since April 10, 2019
809 S PARK ST STE 2, CARROLLTON, GA 30117(678) 390-4218 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2020, Jun 8, 2020, Apr 10, 2019 (3 updates tracked since 2019).

About Debbie Malloy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBBIE MALLOY LLC (NPI 1417410168) is a healthcare organization registered as a professional in Carrollton, Georgia and active in the NPI registry since April 2019. The organization lists Lynette Clark, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417410168
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameDEBBIE MALLOY LLC
Location Address809 S PARK ST STE 2Carrollton, GA 30117-4423
Mailing Address412 Sunset BlvdCarrollton, GA 30117-4139 · (678) 390-4218
Phone(678) 390-4218
Organization SubpartNo
Authorized OfficialLynette ClarkCredentialing Manager · (770) 339-7667
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 29, 20203 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
✔ NPI 1417410168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
809 S PARK ST STE 2, Carrollton, GA 30117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBBIE MALLOY
Counselor (Professional)
809 S PARK ST STE 2
CARROLLTON, GA 30117
Carroll County (678) 390-4218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debbie Malloy LLC's NPI number?

The NPI number for Debbie Malloy LLC is 1417410168. It was assigned to this organization in the NPPES registry on April 10, 2019.

Where is Debbie Malloy LLC located?

Debbie Malloy LLC is located at 809 S Park St Ste 2, Carrollton, GA 30117. The listed phone number is (678) 390-4218.

What is Debbie Malloy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Debbie Malloy LLC was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.