Provider Demographics
NPI:1750111555
Name:MULANAX, SHEILA (MA, T-LPC/MHSP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MULANAX
Suffix:
Gender:F
Credentials:MA, T-LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4937 WILLIAM ARNOLD RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4237
Mailing Address - Country:US
Mailing Address - Phone:901-440-8622
Mailing Address - Fax:
Practice Address - Street 1:4937 WILLIAM ARNOLD RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4237
Practice Address - Country:US
Practice Address - Phone:901-440-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional