Basic Information
| Provider Information | |||||||||
| NPI: | 1437724184 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MULLINS | ||||||||
| FirstName: | TERRY | ||||||||
| MiddleName: | L. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 PRESTON RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750933603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143963960 | ||||||||
| FaxNumber: | 2143963962 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 PRESTON RD STE 260 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750935183 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143963960 | ||||||||
| FaxNumber: | 2143963962 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2021 | ||||||||
| LastUpdateDate: | 09/09/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 19331 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.