Mullen, Mira Louda
Mullen, Mira Louda is an individual health care provider with primary practice located at 3245 Hospital Drive , Juneau AK 99801. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mullen, Mira Louda can be contacted via phone (907) 364-4432.Contact Information
Primary practice address
3245 Hospital Drive
Juneau AK 99801
Phone: (907) 364-4432
Fax: (907) 364-1539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 550 | Alaska |
Profile Details
| NPI number | 1184879066 |
|---|---|
| LBN Legal business name | Mullen, Mira Louda |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Oct 4th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184879066 | NPPES |
| Alaska | Other | 550 | STATE OF ALASKA |
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