Organization Name: | LAURITA MILLER LLC |
NPI Number: | 1255717948 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURITA MILLER (OWNER) |
Mailing Address: | 3 Office Park Cir Ste 115 Mountain Brk |
State: | AL US |
Postal Code: | 352232534 |
Phone Number: | 2059122007 |
Fax Number: | 2059451890 |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0531-1510C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |