Dr Crystal Malloy PHD LPC Mac Ceap LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DR CRYSTAL MALLOY PHD LPC MAC CEAP LLC

Doing business as

Progressive & Innovative Counseling Services

Practice address

174 Scholar Rd
Guyton, GA 31312-6240

Phone

(337) 396-5592

Fax

(912) 250-6025

NPI assigned

Nov 13, 2025

Last updated

Nov 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Crystal Malloy, PHD, LPC, MAC, CEAPNPI 1679958771

Title

Director/Owner

Phone

(337) 396-5592

Specialties & licenses 4

Addresses

Other names 1

• Progressive & Innovative Counseling Services Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Malloy, PHD, LPC, MAC, CEAP

  • Professional Counselor
  • Guyton, GA
  • NPI 1679958771

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Jacqueline Nicole Jackson, BSPM/BA/MSFP

  • Mental Health Counselor
  • Guyton, GA
  • NPI 1629935978
  NPD (past)
• Dan Bernard Johnson Jr., PH.D.

  • Mental Health Counselor
  • Guyton, GA
  • NPI 1609733716
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1235099276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126240",
            "telephone_number": "337-396-5592",
            "fax_number": "912-250-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126240",
            "telephone_number": "337-396-5592",
            "fax_number": "912-250-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRYSTAL MALLOY PHD LPC MAC CEAP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "337-396-5592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, MAC, CEAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive & Innovative Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crooked Willow Psychiatry
• Curtis V. Cooper Primary Health Care Inc. (CVCPHC at Guyton Elementary School)
• Lakesha Jackson Dean
• DJ's Home Care Specialists
• Dorcus Healthcare Services LLC
• Stacey McCoy Duggar, PHARMD
• Effingham Family Medicine at Guyton
• Effingham Hospital, Inc. (Effingham Family Medicine at Guyton)
• Elle Ministries Inc (For Your Smile Christian Counseling)
• Emily Hawkins, LCSW LLC

• Mental Health Counselor in Guyton, GA
• Providers in Guyton, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.