| Doctor Name: | ELIZABETH ANN DECKER-MILLER |
| NPI Number: | 1306020037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.L.P, L.P.C. |
| License Number: | 6401009590 |
| Business Practice Address: | 225 Broadway St Suite 7 South Haven, MI - 490902408 |
| Business Phone Number: | 2693703822 |
| Business Fax Number: | |
| Mailing Address: | Po Box 565, SOUTH HAVEN |
| State: | MI |
| Postal Code: | 490900565 |
| Phone Number: | 2693703822 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2007 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401009590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |