| Michelle Miller Professional Counseling Llc | |
|
423 N Mclean Blvd Ste 201 Wichita KS 67203-5964 | |
| (316) 223-7337 | |
| Not Available |
| Full Name | Michelle Miller Professional Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 423 N Mclean Blvd Ste 201, Wichita, Kansas |
| Authorized Official Name and Position | Michelle Renee Davis (LSCSW, OWNER) |
| Authorized Official Contact | 3162237337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Miller Professional Counseling Llc 423 N Mclean Blvd Ste 201 Wichita KS 67203-5964 Ph: (316) 223-7337 | Michelle Miller Professional Counseling Llc 423 N Mclean Blvd Ste 201 Wichita KS 67203-5964 Ph: (316) 223-7337 |
| NPI Number | 1295320554 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/02/2024 |
| Certification Date | 03/02/2024 |
| Medicare PECOS PAC ID | 0941601199 |
|---|---|
| Medicare Enrollment ID | O20210625001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295320554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michelle Renee Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457949166 PECOS PAC ID: 7315354099 Enrollment ID: I20210625001735 |
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