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JAWAN MULLEN SR. CDAC INTERN
NPI 1124531421
Counselor - Addiction (Substance Use Disorder) in Henderson, NV

Active since November 08, 2017
5940 MOONDANCE CT, HENDERSON, NV 89011(703) 269-7616 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Nov 8, 2017 (2 updates tracked since 2017).

About Jawan Mullen Sr. Cdac Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAWAN MULLEN SR. CDAC INTERN (NPI 1124531421) is an individual addiction (substance use disorder) provider in Henderson, Nevada, licensed in Nevada (08256-1) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1124531421
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAWAN MULLEN SR.Credential: CDAC INTERN
Location Address5940 MOONDANCE CTHenderson, NV 89011-4921
Mailing Address5940 Moondance CtHenderson, NV 89011-4921 · (703) 269-7616
Phone(703) 269-7616
Sole ProprietorYes
Enumeration DateNovember 8, 2017
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1124531421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 08256-1
5940 MOONDANCE CT, Henderson, NV 89011
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BONNY WARBY
Rehabilitation Practitioner
5940 MOONDANCE CT
HENDERSON, NV 89011
Clark County (703) 269-7616
KASEY COX
Behavior Technician
5940 MOONDANCE CT
LAS VEGAS, NV 89011
Clark County (702) 235-8538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jawan Mullen's NPI number?

The NPI number for Jawan Mullen is 1124531421. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Jawan Mullen located?

Jawan Mullen practices at 5940 Moondance Ct, Henderson, NV 89011. The listed phone number is (703) 269-7616.

What is Jawan Mullen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jawan Mullen was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.