Amanda Mullins
Peer Specialist in Booneville, MS. Individual provider (NPI-1).
NPI number1669196572
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1669196572
- Entity type
- Individual (NPI-1)
- Name
- Amanda Mullins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2022
- Certification date
- Sep 30, 2022
- Last updated
- Oct 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
2014 East Chambers DriveBooneville, MS 38829
Phone 662-728-9706
Mailing address
2014 East Chambers DriveBooneville, MS 38829
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