Provider Demographics
NPI:1841520533
Name:MUELLER, RACHELLE MARIE (CD, PCD, DEM, LC)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:MARIE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:CD, PCD, DEM, LC
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PCD, CD, CLC, DEM
Mailing Address - Street 1:4436 GREENMEADOW AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-1433
Mailing Address - Country:US
Mailing Address - Phone:330-209-5351
Mailing Address - Fax:
Practice Address - Street 1:4436 GREENMEADOW AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-1433
Practice Address - Country:US
Practice Address - Phone:330-209-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X, 175M00000X
OH233409405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No374J00000XNursing Service Related ProvidersDoula
No405300000XOther Service ProvidersPrevention Professional