| Eleanor Mallory, LPC | |
|
445 Winn Way, Decatur, GA 30030-1707 | |
| (404) 294-3835 | |
| Not Available |
| Full Name | Eleanor Mallory |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 445 Winn Way, Decatur, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902669260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC014385 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dekalb Community Service Board | 8527958487 | 26 |
| Entity Name | Dekalb Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099 |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Mallory, LPC Po Box 1648, Decatur, GA 30031-1648 Ph: (404) 294-3836 | Eleanor Mallory, LPC 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 294-3835 |
Robin C Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3523 Moonlight Forest Ct, Decatur, GA 30034 Phone: 770-374-1605 | |
Shaina Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, 221, Decatur, GA 30030 Phone: 404-292-3810 | |
Sarah Davison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3836 | |
Giselle Amaris Jacob, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd Ste 204, Decatur, GA 30030 Phone: 404-818-6535 | |
Mrs. Anna Christina Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, Suite 221, Decatur, GA 30030 Phone: 404-292-3810 Fax: 404-292-3848 | |
Jacob Dreiling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1814 Clairmont Rd, Decatur, GA 30033 Phone: 404-636-1457 Fax: 404-636-7449 | |
Nathaniel Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3232 Memorial Dr, Decatur, GA 30032 Phone: 678-235-5478 |