MEDICARE: MICHELLE F MULNIX

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	LPC-24317	AZ

General Provider Information

NPI Number	:	1952904153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE F MULNIX

Provider Business Mailing Address
First Line	:	14800 W MOUNTAIN VIEW BLVD STE 210
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-2703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14800 W MOUNTAIN VIEW BLVD STE 210
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-2703
Country	:	US
Telephone Number	:	623-202-2521
Fax Number	:

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

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	10/26/2025

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Directions to “ MICHELLE F MULNIX ” Practice Location

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