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NPI Code Detail

MEDICARE: DOROTHY LEIGHANN MULLINNIX MA, LPC

MEDICARE:   DOROTHY LEIGHANN MULLINNIX  MA, LPC
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
1101YP2500XProfessional Counselor11858SC

General Provider Information

NPI Number : 1265298053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY LEIGHANN MULLINNIX MA, LPC
Provider Business Mailing Address
First Line : 11 PARIS VIEW DR
Second Line :
City : TRAVELERS REST
State : SC
Zip : 29690-1514
Country : US
Telephone Number : 864-982-0490
Fax Number :
Provider Business Practice Location Address
First Line : 887 NE MAIN ST
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29681-2041
Country : US
Telephone Number : 864-538-6906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2024
Last Update Date : 06/01/2026

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Directions to “ DOROTHY LEIGHANN MULLINNIX MA, LPC” Practice Location

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