| Joy Miller | |
|
7617 N Villa Wood Ln Peoria IL 61614-1588 | |
| (309) 693-8200 | |
| Not Available |
| Full Name | Joy Miller |
|---|---|
| Speciality | Counselor |
| Location | 7617 N Villa Wood Ln, Peoria, Illinois |
| Authorized Official Name and Position | Joy Miller (OWNER) |
| Authorized Official Contact | 3096938200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Miller 7617 N Villa Wood Ln Peoria IL 61614-1588 Ph: (309) 693-8200 | Joy Miller 7617 N Villa Wood Ln Peoria IL 61614-1588 Ph: (309) 693-8200 |
| NPI Number | 1740471432 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 10/12/2011 |
| Medicare PECOS PAC ID | 6305018292 |
|---|---|
| Medicare Enrollment ID | O20111019000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740471432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180000345 (Illinois) | Primary |
| Provider Name | John J Hubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841258944 PECOS PAC ID: 4385816271 Enrollment ID: I20111019000580 |
| Provider Name | Danielle Yocum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285198978 PECOS PAC ID: 8426381005 Enrollment ID: I20190613001928 |
| Provider Name | Charles Clayton Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265831192 PECOS PAC ID: 3779906912 Enrollment ID: I20200707002554 |
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