Healthcare Provider Details

I. General information

NPI: 1043923758
Provider Name (Legal Business Name): MELISSA SCHUELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA BRUMMER

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3412 CENTER POINT RD NE
CEDAR RAPIDS IA
52402-5529
US

IV. Provider business mailing address

4115 MCNEIL RD
CENTER POINT IA
52213-9764
US

V. Phone/Fax

Practice location:
  • Phone: 319-382-8660
  • Fax:
Mailing address:
  • Phone: 319-361-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: