Provider Demographics
NPI:1821119686
Name:MULLINS, LAUREN M (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:MULLINS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7459 BURLINGTON PIKE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1553
Mailing Address - Country:US
Mailing Address - Phone:859-282-6585
Mailing Address - Fax:
Practice Address - Street 1:7459 BURLINGTON PIKE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1553
Practice Address - Country:US
Practice Address - Phone:859-282-6585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1336101YP2500X
KY104291101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY184607OtherMEDICARE GROUP NUMBER
KY184607OtherMEDICARE GROUP NUMBER