Provider Demographics
NPI:1366774911
Name:MUELLER, TAMMIE SUE (LPC)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:SUE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-1502
Mailing Address - Country:US
Mailing Address - Phone:817-233-5049
Mailing Address - Fax:
Practice Address - Street 1:501 LAND OF GOSHEN DR
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-5711
Practice Address - Country:US
Practice Address - Phone:817-233-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional