Provider Demographics
NPI:1043805021
Name:MULLINS, ELSA E (MSW)
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:E
Last Name:MULLINS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 S HOLMAN WAY APT 2A
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5146
Mailing Address - Country:US
Mailing Address - Phone:630-743-9470
Mailing Address - Fax:
Practice Address - Street 1:12 S HOLMAN WAY APT 2A
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5146
Practice Address - Country:US
Practice Address - Phone:630-743-9470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health