BRYCHELLE M MULLINS LCDCII NPI 1104362060

NPI Information

NPI: 1104362060
Provider Name: BRYCHELLE M MULLINS, LCDCII
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
151 MARION AVE
MANSFIELD, OH
ZIP 44903
Phone: (419) 774-9969
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Brychelle M Mullins, LCDCII is a peer specialist in Mansfield, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Brychelle M Mullins, LCDCII NPI is 1104362060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 MARION AVE
MANSFIELD, OH
ZIP 44903-223
Phone: (419) 774-9969
Fax: (419) 756-5642

The enumeration date for this NPI number is 1/16/2017 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.162427	OHIO	No
2	175T00000X	Peer Specialist		0001330	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0348641	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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