Provider Demographics
NPI:1801569561
Name:MULLINS COUNSELING, LLC
Entity type:Organization
Organization Name:MULLINS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-652-8299
Mailing Address - Street 1:56 HUGHES RD UNIT 2183
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6593
Mailing Address - Country:US
Mailing Address - Phone:334-652-8299
Mailing Address - Fax:
Practice Address - Street 1:9238 MADISON BLVD STE 800
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9165
Practice Address - Country:US
Practice Address - Phone:256-258-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1760947808OtherNPPES