Provider Demographics
NPI:1396411526
Name:MULNIX, DANNY LEE (LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:LEE
Last Name:MULNIX
Suffix:
Gender:M
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 WAKE DR APT SUITE
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3642
Mailing Address - Country:US
Mailing Address - Phone:214-663-2809
Mailing Address - Fax:
Practice Address - Street 1:2727 LYNDON B JOHNSON FWY STE 406
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7339
Practice Address - Country:US
Practice Address - Phone:972-842-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85299OtherLPC ASSOCIATE LICENXE