Provider Demographics
NPI:1144779216
Name:MUGGE, MELISSA EVE (MS NCC LMHC-T)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:EVE
Last Name:MUGGE
Suffix:
Gender:F
Credentials:MS NCC LMHC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6190 470TH ST
Mailing Address - Street 2:
Mailing Address - City:SUTHERLAND
Mailing Address - State:IA
Mailing Address - Zip Code:51058-7544
Mailing Address - Country:US
Mailing Address - Phone:712-229-5431
Mailing Address - Fax:
Practice Address - Street 1:20 W 6TH ST STE 104
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-3906
Practice Address - Country:US
Practice Address - Phone:712-262-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101M0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health