Logan and Lynn, LTD.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001609 Issued in VA

Legal business name

LOGAN AND LYNN, LTD.

Doing business as

Denise Rae Mullins

Practice address

5705 Lee Farm LN
Suite D
Suffolk, VA 23435-1772

Phone

(757) 483-3834

Fax

(757) 483-8938

NPI assigned

Dec 5, 2013

Last updated

Dec 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Rae Mullins, LCSW CSAC

Title

Owner

Phone

(757) 483-3834

Specialties & licenses 2

Addresses

Other names 1

• Denise Rae Mullins Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1285065979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 LEE FARM LN",
            "address_2": "SUITE D",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351772",
            "telephone_number": "757-483-3834",
            "fax_number": "757-483-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 LEE FARM LN",
            "address_2": "SUITE D",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351772",
            "telephone_number": "757-483-3834",
            "fax_number": "757-483-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN AND LYNN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-483-3834",
        "authorized_official_credential": "LCSW CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000608",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise Rae Mullins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael A Livoti, DPT
• Kristy Ellen Livsey, MA, LPC
• Leviticus Lofton, LCSW
• Etienne Fox Logan II
• Monica Logwood
• Angela Long
• Cheryl Carter Long, CLO ELO ENTERPRISES
• George Madison Long Jr., DPM

• Clinical Social Worker in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.