Provider Demographics
NPI:1235560400
Name:MULLINS, JULIE (CSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MULLINS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CLIFTY ST
Mailing Address - Street 2:STE 2
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-1710
Mailing Address - Country:US
Mailing Address - Phone:606-676-0638
Mailing Address - Fax:606-676-0789
Practice Address - Street 1:401 BOGLE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3823
Practice Address - Country:US
Practice Address - Phone:606-676-0638
Practice Address - Fax:606-676-0789
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY65741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical