Healthcare Provider Details

I. General information

NPI: 1780770677
Provider Name (Legal Business Name): NATASHA L MULLEN LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. NATASHA L FRESHWATER

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 JILLIAN CT
DOVER DE
19901-5898
US

IV. Provider business mailing address

90 JILLIAN CT
DOVER DE
19901-5898
US

V. Phone/Fax

Practice location:
  • Phone: 302-858-7525
  • Fax: 302-535-8817
Mailing address:
  • Phone: 302-858-7525
  • Fax: 302-535-8817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC0000329
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: