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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033545082 NPPES
South Dakota MEDICAID 2018152
South Dakota MEDICAID 98578774

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