Organization
LENNIE S MULLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENNIE S MULLIS LPC (COUNSELOR)
(803) 289-4298
Entity
Organization
Contact information
Practice address
1002 LOFTY PINE DR, COLUMBIA, SC 29212-2040
(803) 289-4298
(803) 781-4437
Mailing address
1002 LOFTY PINE DR, COLUMBIA, SC 29212-2040
(803) 289-4298
(803) 781-4437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5741
SC
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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