Healthcare Provider Details

I. General information

NPI: 1548655657
Provider Name (Legal Business Name): ERIN MULLINS LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6869 WOODLAWN AVE NE
SEATTLE WA
98115-5469
US

IV. Provider business mailing address

6869 WOODLAWN AVE NE
SEATTLE WA
98115-5469
US

V. Phone/Fax

Practice location:
  • Phone: 206-535-8867
  • Fax:
Mailing address:
  • Phone: 206-535-8867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61577598
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60539542
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: