Individual
CHEYENNE ALISSA MUELTHALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1485 BRIGHTSHORE BLVD, BAY SHORE, NY 11706-2412
(631) 553-4534
Mailing address
1485 BRIGHTSHORE BLVD, BAY SHORE, NY 11706-2412
(631) 553-4534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101004
NY
104100000X
Social Worker
Primary
112220
NY
Other
Enumeration date
09/28/2021
Last updated
05/13/2026
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