| Letha F Miller Inc | |
|
4244 Central Ave St Petersburg FL 33711-1140 | |
| (813) 625-5743 | |
| Not Available |
| Full Name | Letha F Miller Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4244 Central Ave, St Petersburg, Florida |
| Authorized Official Name and Position | Letha F Miller (PRESIDENT) |
| Authorized Official Contact | 8136255743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Letha F Miller Inc 6408 1st Ave S St Petersburg FL 33707-1302 Ph: (813) 625-5743 | Letha F Miller Inc 4244 Central Ave St Petersburg FL 33711-1140 Ph: (813) 625-5743 |
| NPI Number | 1972121721 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972121721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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