Mullins, Brychelle M

Mullins, Brychelle M is an individual health care provider with primary practice located at 151 Marion Ave , Mansfield OH 44903-2223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mullins, Brychelle M can be contacted via phone (419) 774-9969.

Contact Information

Primary practice address
151 Marion Ave Mansfield OH 44903-2223
Phone: (419) 774-9969
Fax: (419) 756-5642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.162427 Ohio
Other Service Providers / Peer Specialist 175T00000X 0001330 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.162349 Ohio

Profile Details

NPI number 1104362060
LBN Legal business name Mullins, Brychelle M
Credentials LCDCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2017
Last updated Nov 17th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104362060 NPPES
Ohio MEDICAID 0348641

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