MEDICARE: MICHAEL MUI LPCC

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	8669-125	WI
2	101YM0800X	Mental Health Counselor	2732	MN

General Provider Information

NPI Number	:	1881103497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL MUI LPCC

Provider Business Mailing Address
First Line	:	7411 85TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-2231
Country	:	US
Telephone Number	:	651-243-8451
Fax Number	:

Provider Business Practice Location Address
First Line	:	7411 85TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-2231
Country	:	US
Telephone Number	:	651-243-8451
Fax Number	:

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

Provider Enumeration Date	:	09/26/2017
Last Update Date	:	11/28/2023

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