Provider Demographics
NPI:1942552690
Name:MALLINSON, ARTHUR DAVID (LPC' MDIV, MRE)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:DAVID
Last Name:MALLINSON
Suffix:
Gender:M
Credentials:LPC' MDIV, MRE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5242 TURTLE COVE RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4930
Mailing Address - Country:US
Mailing Address - Phone:972-365-3513
Mailing Address - Fax:
Practice Address - Street 1:5242 TURTLE COVE RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-4930
Practice Address - Country:US
Practice Address - Phone:972-365-3513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional