Provider Demographics
NPI:1962136275
Name:MCMULLIN, SHEILA THORNTON (LPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:THORNTON
Last Name:MCMULLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5907 ERICSON CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5278
Mailing Address - Country:US
Mailing Address - Phone:281-374-9207
Mailing Address - Fax:
Practice Address - Street 1:13910 CHAMPION FOREST DR STE 111
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1882
Practice Address - Country:US
Practice Address - Phone:832-432-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82555OtherLICENSED PROFESSIONAL COUNSELOR