Provider Demographics
NPI:1174851653
Name:MULLINS, ELIZABETH STUART (LCSW, PIP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:STUART
Last Name:MULLINS
Suffix:
Gender:F
Credentials:LCSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5209
Mailing Address - Country:US
Mailing Address - Phone:205-382-2305
Mailing Address - Fax:205-967-3277
Practice Address - Street 1:4126 AUTUMN LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-5209
Practice Address - Country:US
Practice Address - Phone:205-382-2305
Practice Address - Fax:205-967-3277
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-22
Last Update Date:2009-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2143C1041C0700X
AL0897PIP1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical