Active NPI
Inge Mula Myllerup-Brookhuis
- Social Worker
- Carrollton, GA
National Provider Identifier
1154536159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LPC002647
- Practice address
- 501 Tanner St
Carrollton, GA 30117-3318 - Phone
- (770) 836-1205
- NPI assigned
- May 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC002647 | GA | |
| Social Worker | 104100000X | LPC002647 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | LPC002647 | GA |
Addresses
Primary practice location
501 Tanner St
Carrollton, GA 30117-3318
Mailing address
127 E Center St
Carrollton, GA 30117-3302
Phone (770) 836-1205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250110001726 | GA | Practitioner - Psychologist Billing Independently | 0547798183 | Practice locations: Carrollton, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
127 E Ctr St
Suite 4
Carrollton, GA 30117-3350
Phone (770) 836-1205
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002647 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154536159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E CENTER ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173302",
"telephone_number": "770-836-1205",
"fax_number": "770-830-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 TANNER ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173318",
"telephone_number": "770-836-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLLERUP-BROOKHUIS",
"first_name": "INGE MULA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002647",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "LPC002647",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "LPC002647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.