Organization Name: | MILLER COUNSELING SERVICES, LLC |
NPI Number: | 1194054908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANETTE P MILLER (MEMBER/MANAGER) |
Mailing Address: | 805 Central Ave Suite 200 Fort Dodge |
State: | IA US |
Postal Code: | 505013938 |
Phone Number: | 5155767682 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 18 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |