Victoria Jolene Miller, LPC | |
401 W Fallen Leaf Cir, Wasilla, AK 99654-7989 | |
(866) 210-8282 | |
Not Available |
Full Name | Victoria Jolene Miller |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 401 W Fallen Leaf Cir, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144485194 | NPI | - | NPPES |
1020986 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Lillac Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952036824 PECOS PAC ID: 1456795210 Enrollment ID: O20240220002564 |
Mailing Address | Practice Location Address |
---|---|
Victoria Jolene Miller, LPC 2521 E. Mtn Village Dr., Ste B Pmb 287, Wasilla, AK 99654-7989 Ph: (866) 210-8282 | Victoria Jolene Miller, LPC 401 W Fallen Leaf Cir, Wasilla, AK 99654-7989 Ph: (866) 210-8282 |
Elizabeth Tucker Knecht, MS, CD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Diana Lucero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654 Phone: 907-746-4748 Fax: 907-746-4750 | |
Gypsy Gillum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-376-3275 | |
Ms. Sarah Ruth Welton, M.S.C.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Suite B, Wasilla, AK 99654 Phone: 907-373-5585 Fax: 907-373-5596 | |
Theresa Marie Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-330-2487 | |
Carly Woodward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 S Seward Meridian Pkwy, Wasilla, AK 99654 Phone: 907-631-3520 | |
Brittany Oaks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St Ste E, Wasilla, AK 99654 Phone: 907-885-0989 |