Mullins, Amanda
Mullins, Amanda is an individual health care provider with primary practice located at 21155 Lexwood Dr Suite C, Lexington Park MD 20653-4385. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mullins, Amanda can be contacted via phone (301) 373-3065.Contact Information
Primary practice address
21155 Lexwood Dr Suite C
Lexington Park MD 20653-4385
Phone: (301) 373-3065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Maryland |
Profile Details
| NPI number | 1164975405 |
|---|---|
| LBN Legal business name | Mullins, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2016 |
| Last updated | Aug 3rd, 2016 - about 8 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 | 1164975405 | NPPES |
| Maryland | MEDICAID | 681701700 |
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