MEDICARE: MEAGHAN HARRIET MULLER MS, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC010779	GA

General Provider Information

NPI Number	:	1538704713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGHAN HARRIET MULLER MS, LPC

Provider Business Mailing Address
First Line	:	910 LOS ANGELES AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-3604
Country	:	US
Telephone Number	:	404-963-2445
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 ARMOUR DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3973
Country	:	US
Telephone Number	:	678-408-1640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	08/03/2022

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