MS. DEBORAH R MCMULLEN PCC-SC LICDC LSW NPI 1770568701

NPI Information

NPI: 1770568701
Provider Name: MS. DEBORAH R MCMULLEN, PCC-SC, LICDC, LSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
893 S MAIN ST STE 275
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 305-7768
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MS. Deborah R Mcmullen, PCC-SC, LICDC, LSW is a professional counselor in Englewood, OH. MS. Deborah R Mcmullen, PCC-SC, LICDC, LSW NPI is 1770568701. 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:

893 S MAIN ST STE 275
ENGLEWOOD, OH
ZIP 45322-814
Phone: (937) 305-7768
Fax: (937) 558-5877

The enumeration date for this NPI number is 12/13/2005 and was last updated on 7/7/2023.

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)	021106	OHIO	No
2	1041C0700X	Social Worker	Clinical	S 0004990	OHIO	No
3	101YP2500X	Counselor	Professional	E 0002479	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	2272231	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: 4/28/2024

NPI Synchronization or Removal

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