Lisa Michele Mullin, LCSW
Counselor, Mental Health in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1710691134
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1710691134
- Entity type
- Individual (NPI-1)
- Name
- Lisa Michele Mullin
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2023
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2018001452 | MO | Yes |
Practice location
3417 Glenview DrCape Girardeau, MO 63701-3400
Phone 573-380-9677
Mailing address
3417 Glenview DrCape Girardeau, MO 63701-3400
Phone 573-380-9677
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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