Provider Demographics
NPI:1285235689
Name:MUELLER, SARAH ANN (MA, LCPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MA, LCPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 W IRVING PARK RD UNIT 13469
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-8323
Mailing Address - Country:US
Mailing Address - Phone:708-480-2022
Mailing Address - Fax:
Practice Address - Street 1:1343 W IRVING PARK RD UNIT 13469
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-8323
Practice Address - Country:US
Practice Address - Phone:708-480-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180013833221700000X, 101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180013833OtherLCPC
17-501OtherAMERICAN ART THERAPY ASSOCIATION