Doctor Name: | LANE DOUBENMIER MILLER |
NPI Number: | 1619953155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 2003032247 |
Business Practice Address: | 8801 E 63rd St Suite 104 Raytown, MO - 641334875 |
Business Phone Number: | 8163682000 |
Business Fax Number: | 8165336873 |
Mailing Address: | 200 Main St, Apt. 211 KANSAS CITY |
State: | MO |
Postal Code: | 641051277 |
Phone Number: | 8166048598 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2005 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2003032247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |