1508216912 NPI number — AMIE MUELLER MS, PLPC, LPC, NCC

Table of content: AMIE MUELLER MS, PLPC, LPC, NCC (NPI 1508216912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508216912 NPI number — AMIE MUELLER MS, PLPC, LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUELLER
Provider First Name:
AMIE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, PLPC, LPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MUELLER
Provider Other First Name:
AMIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, PLPC, LPC, NCC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1508216912
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
730 ASH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWRENCE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66044-5520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-896-8831
Provider Business Mailing Address Fax Number:
816-561-2374

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
211 E 8TH ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66044-2771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-896-8831
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  03008 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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