Doctor Name: | LAURITA MILLER |
NPI Number: | 1528099009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 4029 |
Business Practice Address: | 3 Office Park Cir Ste 115 Mountain Brk, AL - 352232534 |
Business Phone Number: | 2059122000 |
Business Fax Number: | 2059451890 |
Mailing Address: | 3 Office Park Cir Ste 115, MOUNTAIN BRK |
State: | AL |
Postal Code: | 352232534 |
Phone Number: | 2059122000 |
Fax Number: | 2059451890 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4029 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |