Provider Demographics
NPI:1902031818
Name:MULLEN, BARBARA A (MA LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:MULLEN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-033 MANANA ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795
Mailing Address - Country:US
Mailing Address - Phone:808-535-0153
Mailing Address - Fax:808-536-1836
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:STE 862
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3950
Practice Address - Country:US
Practice Address - Phone:808-527-4474
Practice Address - Fax:808-536-1836
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT #32106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist