| Melanie A Miller Lscsw Llc | |
|
1900 N Amidon Ave Ste 207 Wichita KS 67203-2140 | |
| (316) 288-0090 | |
| Not Available |
| Full Name | Melanie A Miller Lscsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1900 N Amidon Ave Ste 207, Wichita, Kansas |
| Authorized Official Name and Position | Melanie A. Miller Garrett (THERAPIST/OWNER) |
| Authorized Official Contact | 3162880090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie A Miller Lscsw Llc 224 E 2nd St Newton KS 67114-3404 Ph: (316) 288-0090 | Melanie A Miller Lscsw Llc 1900 N Amidon Ave Ste 207 Wichita KS 67203-2140 Ph: (316) 288-0090 |
| NPI Number | 1255838900 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/16/2018 |
| Medicare PECOS PAC ID | 3577826171 |
|---|---|
| Medicare Enrollment ID | O20180412002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255838900 | NPI | - | NPPES |
| 069800 | Other | KS | BLUE CROSS BLUE SHIELD OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSCSW2157 (Kansas) | Primary |
| Provider Name | Melanie A Miller Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477767929 PECOS PAC ID: 8820088594 Enrollment ID: I20040514000586 |
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