Provider Demographics
NPI:1215916127
Name:MUELL, AMY JOY (LIMHP, CSW)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:JOY
Last Name:MUELL
Suffix:
Gender:F
Credentials:LIMHP, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4685 MERLE HAY RD STE 108
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1982
Mailing Address - Country:US
Mailing Address - Phone:402-321-1295
Mailing Address - Fax:
Practice Address - Street 1:4685 MERLE HAY RD STE 108
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-1982
Practice Address - Country:US
Practice Address - Phone:402-321-1295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007414101YM0800X, 1041C0700X
NE78441041C0700X
NE718101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical