| Doctor Name: | MS. NANCY M. MUELLER |
| NPI Number: | 1194963256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2001029055 |
| Business Practice Address: | 15620 Manchester Rd Suite 26 Ellisville, MO - 630112276 |
| Business Phone Number: | 3149416300 |
| Business Fax Number: | 6362734101 |
| Mailing Address: | 15620 Manchester Rd, Suite 26 ELLISVILLE |
| State: | MO |
| Postal Code: | 630112276 |
| Phone Number: | 3149416300 |
| Fax Number: | 6362734101 |
| NPI Enumeration Date: | 01/28/2009 |
| NPI Last Update Date: | 01/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2001029055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |