Provider Demographics
NPI:1639469570
Name:MUELLER, BEVERLEE K (LMHC)
Entity Type:Individual
Prefix:
First Name:BEVERLEE
Middle Name:K
Last Name:MUELLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 MIRACLE STRIP PKWY SW
Mailing Address - Street 2:STUDIO B-7
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-5200
Mailing Address - Country:US
Mailing Address - Phone:850-862-3772
Mailing Address - Fax:850-863-4574
Practice Address - Street 1:348 MIRACLE STRIP PKWY SW
Practice Address - Street 2:STUDIO B-7
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-5200
Practice Address - Country:US
Practice Address - Phone:850-862-3772
Practice Address - Fax:850-863-4574
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health