Mullins, Pamela A
Mullins, Pamela A is an sole proprietor health care provider with primary practice located at 12 Glade Ave , Jamaica Plain MA 02130-3313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mullins, Pamela A can be contacted via phone (617) 983-5398.Contact Information
Primary practice address
12 Glade Ave
Jamaica Plain MA 02130-3313
Phone: (617) 983-5398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1886 | Massachusetts |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMHC#771 | Massachusetts |
Profile Details
| NPI number | 1699793729 |
|---|---|
| LBN Legal business name | Mullins, Pamela A |
| Credentials | LMHC, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1699793729 | NPPES |
| Massachusetts | Other | LM0805 | BCBS PROVIDER NUMBER |
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