Mullins, Randy Lee
Mullins, Randy Lee is an sole proprietor health care provider with primary practice located at 825 Majestic Ct Unit 8 , Gastonia NC 28054-5186. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mullins, Randy Lee can be contacted via phone (704) 813-2649.Contact Information
Primary practice address
825 Majestic Ct Unit 8
Gastonia NC 28054-5186
Phone: (704) 813-2649
Fax: (704) 868-9948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 642 | North Carolina |
Profile Details
| NPI number | 1093702706 |
|---|---|
| LBN Legal business name | Mullins, Randy Lee |
| Credentials | LPC PLLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Nov 30th, 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 | 1093702706 | NPPES |
| North Carolina | MEDICAID | 6103103 | |
| North Carolina | Other | 61302 |
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