Individual
ALEXA MAURISSA MULLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
925 PARK AVE STE 1B, NEW YORK, NY 10028-0210
(917) 500-3995
Mailing address
647 LOWELL RD, UNIONDALE, NY 11553-1954
(516) 353-8616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015046
NY
Other
Enumeration date
12/21/2022
Last updated
09/10/2024
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