MEDICARE: ELIZABETH ANN MUELLER LPC, SAC-IT, ATR

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	16538-131	WI
2	101YP2500X	Professional Counselor	8351-125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780169433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN MUELLER LPC, SAC-IT, ATR

Provider Business Mailing Address
First Line	:	2771A N BREMEN ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2605
Country	:	US
Telephone Number	:	414-316-8284
Fax Number	:

Provider Business Practice Location Address
First Line	:	10012 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1338
Country	:	US
Telephone Number	:	414-810-4844
Fax Number	:	414-810-4845

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

Provider Enumeration Date	:	09/28/2018
Last Update Date	:	04/16/2026

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