Provider Demographics
NPI:1295431799
Name:MUELLER, SHAYE (LPC ATR-P)
Entity type:Individual
Prefix:
First Name:SHAYE
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:LPC ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W JACKSON BLVD STE 1334
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3548
Mailing Address - Country:US
Mailing Address - Phone:773-840-0417
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 1334
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3548
Practice Address - Country:US
Practice Address - Phone:773-840-0417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018807101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional