Mullins, Craig Allen
Mullins, Craig Allen is an sole proprietor health care provider with primary practice located at 4447 S Canyon Rd Ste 5 , Rapid City SD 57702-1889. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mullins, Craig Allen can be contacted via phone (605) 391-8882.Contact Information
Primary practice address
4447 S Canyon Rd Ste 5
Rapid City SD 57702-1889
Phone: (605) 391-8882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 30550 | South Dakota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0011682 | Colorado |
Profile Details
| NPI number | 1033545082 |
|---|---|
| LBN Legal business name | Mullins, Craig Allen |
| Credentials | M.A., L.P.C.-MH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2013 |
| Last updated | Jan 17th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033545082 | NPPES |
| South Dakota | MEDICAID | 2018152 | |
| South Dakota | MEDICAID | 98578774 |
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