Provider Demographics
NPI:1184512097
Name:MULLIS, E DEWEY II (LCMHC)
Entity type:Individual
Prefix:MR
First Name:E
Middle Name:DEWEY
Last Name:MULLIS
Suffix:II
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E POLICE PLZ
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2753
Mailing Address - Country:US
Mailing Address - Phone:336-430-5292
Mailing Address - Fax:
Practice Address - Street 1:100 E POLICE PLZ
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2753
Practice Address - Country:US
Practice Address - Phone:336-430-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health