Provider Demographics
NPI:1205050705
Name:MULLER, MELISSA B (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:B
Last Name:MULLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1828
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-1828
Mailing Address - Country:US
Mailing Address - Phone:919-556-0709
Mailing Address - Fax:
Practice Address - Street 1:150-A N. WHITE ST.
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-1828
Practice Address - Country:US
Practice Address - Phone:919-556-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist