Provider Demographics
NPI:1508216912
Name:MUELLER, AMIE (MS, PLPC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MS, PLPC, LPC, NCC
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, PLPC, LPC, NCC
Mailing Address - Street 1:730 ASH ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-5520
Mailing Address - Country:US
Mailing Address - Phone:816-896-8831
Mailing Address - Fax:816-561-2374
Practice Address - Street 1:211 E 8TH ST STE B
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2771
Practice Address - Country:US
Practice Address - Phone:816-896-8831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03008101YP2500X
KS2936101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional