Doctor Name: | DR. MICHELLE MILLER |
NPI Number: | 1083087563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIC. PROF COUNSELOR |
License Number: | 57600092 |
Business Practice Address: | 1050 Ribaut Rd Beaufort, SC - 29902 |
Business Phone Number: | 8435248899 |
Business Fax Number: | |
Mailing Address: | 1050 Ribaut Rd, BEAUFORT |
State: | SC |
Postal Code: | 299025400 |
Phone Number: | 8435248899 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 57600092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |