Doctor Name: | MRS. CHITA MULHOLLAND |
NPI Number: | 1053484733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 17965 |
Business Practice Address: | 1000 S Main St Ste. 260 Grapevine, TX - 760517513 |
Business Phone Number: | 8179120313 |
Business Fax Number: | 8179120330 |
Mailing Address: | 1000 S Main St, Ste. 260 GRAPEVINE |
State: | TX |
Postal Code: | 760517513 |
Phone Number: | 8179120313 |
Fax Number: | 8179120330 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 17965 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |