Provider Demographics
NPI:1134096829
Name:MULKEY BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:MULKEY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:DEBRA
Authorized Official - Last Name:MULKEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-608-8080
Mailing Address - Street 1:15430 HOUNDMASTER TER
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6518
Mailing Address - Country:US
Mailing Address - Phone:919-608-8080
Mailing Address - Fax:919-608-8080
Practice Address - Street 1:15430 HOUNDMASTER TER
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6518
Practice Address - Country:US
Practice Address - Phone:919-608-8080
Practice Address - Fax:919-608-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty