Individual
NIKI AMIA MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1110 DOVER RD STE A, GREENSBORO, NC 27408-7314
(704) 953-1071
(743) 229-5744
Mailing address
2223 NEW GARDEN RD APT D, GREENSBORO, NC 27410-2359
(704) 953-1071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24778
NC
106H00000X
Marriage & Family Therapist
Primary
12219A
NC
106H00000X
Marriage & Family Therapist
Primary
2400
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12229A
LMFTA
NC
01
—
LCAS-24778
LCAS-A
NC
Enumeration date
06/11/2019
Last updated
04/26/2026
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