Provider Demographics
NPI:1003388026
Name:THE MULE GROUP LLC
Entity Type:Organization
Organization Name:THE MULE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHINIQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, CSAC, LPC
Authorized Official - Phone:757-214-3159
Mailing Address - Street 1:2005 OLD GREENBRIER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2649
Mailing Address - Country:US
Mailing Address - Phone:757-790-5916
Mailing Address - Fax:
Practice Address - Street 1:840 JUNIPER CRES STE 112
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2628
Practice Address - Country:US
Practice Address - Phone:757-762-1831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty