Cory J Mullins, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CORY J MULLINS, LLC

Practice address

1711 Cass Lake Rd
Keego Harbor, MI 48320-1047

Phone

(248) 895-1455

Fax

(248) 481-4352

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By 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

Mr. Cory J Mullins, LMSW QIDPNPI 1346546934

Title

Ceo, Therapist

Phone

(248) 895-1455

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Mullins, LMSW QIDP

  • Clinical Social Worker
  • Highland, MI
  • NPI 1346546934
  Authorized official Same address or phone

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1932504933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CASS LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201047",
            "telephone_number": "248-895-1455",
            "fax_number": "248-481-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CASS LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201047",
            "telephone_number": "248-895-1455",
            "fax_number": "248-481-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY J MULLINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO, THERAPIST",
        "authorized_official_telephone_number": "248-895-1455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW QIDP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jeffrey Casselman, D.C.
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• Saurish Chakravarty, PT
• Compassionate Oxygen & Respiratory Services,Inc.
• Covered by Faith
• Karen R Cox, MSN, RN
• Heather Gayle Daitch, D.D.S.
• Tiffany Danpollo
• Excel Footcare

• Clinical Social Worker in Keego Harbor, MI
• Providers in Keego Harbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.