Doctor Name: | MRS. ANTOINETTE LORRAINE MILLER |
NPI Number: | 1871811497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BHRS |
License Number: | |
Business Practice Address: | 310 S. 11th Street Hartshorne, OK - 74547 |
Business Phone Number: | 9182973400 |
Business Fax Number: | 9182973401 |
Mailing Address: | 227 E Van Buren Ave, MCALESTER |
State: | OK |
Postal Code: | 745014132 |
Phone Number: | 9184700896 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2010 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |