Provider Demographics
NPI:1023218773
Name:MULLINS, ASHLEY N (MA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:N
Last Name:MULLINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 COLLEGE AVE STE 200A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1447
Mailing Address - Country:US
Mailing Address - Phone:510-992-3141
Mailing Address - Fax:
Practice Address - Street 1:5270 COLLEGE AVE STE 200A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1447
Practice Address - Country:US
Practice Address - Phone:510-992-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health