Provider Demographics
NPI:1851872626
Name:MULLEN, EILEEN C (LMHCA)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:C
Last Name:MULLEN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:C
Other - Last Name:UNDERHILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHCA
Mailing Address - Street 1:4027 21ST AVE W STE 203
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1272
Mailing Address - Country:US
Mailing Address - Phone:971-361-9051
Mailing Address - Fax:
Practice Address - Street 1:4027 21ST AVE W STE 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-1272
Practice Address - Country:US
Practice Address - Phone:971-361-9051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61010722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health