| Hali Miller Pmhnp Psychiatry Llc | |
|
14295 Highway 21 S Bogalusa LA 70427-8025 | |
| (985) 200-0688 | |
| (985) 777-8141 |
| Full Name | Hali Miller Pmhnp Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14295 Highway 21 S, Bogalusa, Louisiana |
| Authorized Official Name and Position | Hali Miller (AUTHORIZED OFFICIAL / OWNER) |
| Authorized Official Contact | 9852000688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hali Miller Pmhnp Psychiatry Llc 29371 Thomas Wood Dr Franklinton LA 70438-6854 Ph: (985) 200-0688 | Hali Miller Pmhnp Psychiatry Llc 14295 Highway 21 S Bogalusa LA 70427-8025 Ph: (985) 200-0688 |
| NPI Number | 1013743194 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 0042743353 |
|---|---|
| Medicare Enrollment ID | O20241024004231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013743194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hali R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330396 PECOS PAC ID: 7719267236 Enrollment ID: I20161129001244 |
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