MEDICARE: DANNY LEE MULNIX LPC ASSOCIATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	85299	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85299	OTHER	TX	LPC ASSOCIATE LICENXE

General Provider Information

NPI Number	:	1396411526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY LEE MULNIX LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	207 WAKE DR APT SUITE
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-3642
Country	:	US
Telephone Number	:	214-663-2809
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 LYNDON B JOHNSON FWY STE 406
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7339
Country	:	US
Telephone Number	:	972-842-0001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	08/18/2021

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