| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CANDACE MULLINS | 1013466457 | 2021-12-01 |
Candace Mullins is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013466457. Registration indicates Candace Mullins is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Candace Mullins LLMSW |
| Practice Office Address | 325 9TH AVE SEATTLE, WA US |
| Practice Office Telephone | 2065205000 |
| Mailing Address | 1200 SW 27TH ST RENTON, WA 980572603 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1521 Gull Rd | Kalamazoo, MI 490481640 | 2692267000 |
| 610 S Burdick St | Kalamazoo, MI 490075221 | 2693813700 / 2693813810 |
| 1200 SW 27th St | Renton, WA 980572603 | 4252352800 / 4252352815 |
| SOAP URL [C-CDA] | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 6801102661
MI |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | SC61106822
WA |