| Regina Miller Social Services Llc | |
|
110 E State St Kennett Square PA 19348-3100 | |
| (610) 331-8371 | |
| Not Available |
| Full Name | Regina Miller Social Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 E State St, Kennett Square, Pennsylvania |
| Authorized Official Name and Position | Regina Marie Miller (OWNER) |
| Authorized Official Contact | 6103318371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Miller Social Services Llc 1108 Sherbrook Dr West Chester PA 19382-8069 Ph: (484) 614-9474 | Regina Miller Social Services Llc 110 E State St Kennett Square PA 19348-3100 Ph: (610) 331-8371 |
| NPI Number | 1013361070 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 05/09/2016 |
| Medicare PECOS PAC ID | 2062701832 |
|---|---|
| Medicare Enrollment ID | O20160518000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013361070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CW015998 (Pennsylvania) | Primary |
| Provider Name | Regina M Stokes Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942617618 PECOS PAC ID: 4981993755 Enrollment ID: I20160518000171 |
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