Provider Demographics
NPI:1043040801
Name:MULLINS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MULLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:EAST BANK
Mailing Address - State:WV
Mailing Address - Zip Code:25067-0088
Mailing Address - Country:US
Mailing Address - Phone:304-859-0293
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 88
Practice Address - Street 2:
Practice Address - City:EAST BANK
Practice Address - State:WV
Practice Address - Zip Code:25067-0088
Practice Address - Country:US
Practice Address - Phone:304-859-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency