LARA ERIN MULLENS


Address: 1161 Sunderland Ln, Fort Worth, TX 76134-3732
Phone: 8179291957

LARA ERIN MULLENS (NPI# 1386195261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386195261
Entity Type Individual
Full Name LARA ERIN MULLENS
Other Name LARA ERIN MURPHY
Credential M. ED.
Practice Address 1161 Sunderland Ln
Fort Worth
TX 76134-3732
Practice Telephone 8179291957
Mailing Telephone 8179291957
Enumeration Date 2016-10-17
Last Update Date 2016-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1161 SUNDERLAND LN
City FORT WORTH
State TX
Zip Code 76134-3732

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1649524125 En'style Hair & Total Image Studio Prosthetic/Orthotic Supplier 1173 Sunderland Lane, Fort Worth, TX 76134 2012-11-05
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1477518009 Peter D Hayward Emergency Medicine 11801 S Freeway, Fort Worth, TX 76134 2006-04-18
1013439686 Serenity Square L.l.c Respite Care 1121 Kielder Cir, Ft. Worth, TX 76134 2017-07-14
1154869717 Sycamore Dental Dentist 1900 W Everman Parkway #130, Fort Worth, TX 76134 2017-02-03
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1851356471 Harold E Johnson Emergency Medicine 11801 S. Freeway, Fort Worth, TX 76134 2006-04-18
1023073665 Karim S Jamal Emergency Medicine 11801 S. Freeway, Fort Worth, TX 76134 2006-04-18
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WORTH
Zip Code 76134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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