Provider Demographics
NPI:1588131429
Name:DEBORAH MULLINS LICENED MENTAL HEALTH COUNSELOR PC
Entity type:Organization
Organization Name:DEBORAH MULLINS LICENED MENTAL HEALTH COUNSELOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:914-577-4088
Mailing Address - Street 1:146 ROOSEVELT DR
Mailing Address - Street 2:
Mailing Address - City:POUGHQUAG
Mailing Address - State:NY
Mailing Address - Zip Code:12570-5231
Mailing Address - Country:US
Mailing Address - Phone:914-577-4088
Mailing Address - Fax:845-226-5865
Practice Address - Street 1:1285 ROUTE 9 STE 7
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4993
Practice Address - Country:US
Practice Address - Phone:914-557-4088
Practice Address - Fax:845-226-5865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty