Individual
ASHLEE LYNNE MULLINAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-9414
(704) 384-5735
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4571
NC
101YM0800X
Mental Health Counselor
Primary
4571
NC
101YP2500X
Professional Counselor
4571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102425
—
NC
Enumeration date
08/18/2006
Last updated
08/28/2024
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