Healthcare Provider Details

I. General information

NPI: 1316867484
Provider Name (Legal Business Name): KRISTI K MUELLER M.A. LPC ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N MAIN ST STE 106
BRYAN TX
77803-5373
US

IV. Provider business mailing address

401 N MAIN ST STE 106
BRYAN TX
77803-5373
US

V. Phone/Fax

Practice location:
  • Phone: 979-429-4252
  • Fax:
Mailing address:
  • Phone: 979-429-4252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number100003
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: