Provider Demographics
NPI:1205274511
Name:MULLINS, FRANK DAVID (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:DAVID
Last Name:MULLINS
Suffix:
Gender:M
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2962 YOUTH UNLIMITED DR
Mailing Address - Street 2:
Mailing Address - City:SOPHIA
Mailing Address - State:NC
Mailing Address - Zip Code:27350-8481
Mailing Address - Country:US
Mailing Address - Phone:336-289-9360
Mailing Address - Fax:336-861-9253
Practice Address - Street 1:2962 YOUTH UNLIMITED DR
Practice Address - Street 2:
Practice Address - City:SOPHIA
Practice Address - State:NC
Practice Address - Zip Code:27350-8481
Practice Address - Country:US
Practice Address - Phone:336-289-9360
Practice Address - Fax:336-861-9253
Is Sole Proprietor?:No
Enumeration Date:2013-06-08
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9952101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health