Provider Demographics
NPI:1396523155
Name:MULLER, LISA NOOYEN
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:NOOYEN
Last Name:MULLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 YALE ST APT 544
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2872
Mailing Address - Country:US
Mailing Address - Phone:281-827-6042
Mailing Address - Fax:
Practice Address - Street 1:525 YALE ST APT 544
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2872
Practice Address - Country:US
Practice Address - Phone:281-827-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8672-125101YP2500X
TX81715101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional