Thomas T Miller Life Coach Consultant Llc | |
10085 Upp Rd Van Wert OH 45891-8406 | |
(419) 238-6646 | |
(419) 238-6646 |
Full Name | Thomas T Miller Life Coach Consultant Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 10085 Upp Rd, Van Wert, Ohio |
Authorized Official Name and Position | Thomas T Miller (DIRECTOR) |
Authorized Official Contact | 4192386646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas T Miller Life Coach Consultant Llc 4745 Estero Blvd Unit 305 Fort Myers Beach FL 33931-3981 Ph: (239) 765-6906 | Thomas T Miller Life Coach Consultant Llc 10085 Upp Rd Van Wert OH 45891-8406 Ph: (419) 238-6646 |
NPI Number | 1154505634 |
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Provider Enumeration Date | 12/20/2007 |
Last Update Date | 12/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154505634 | NPI | - | NPPES |
0257529 | Medicaid | OH | |
34131107400 | Other | OH | OH WORKERS COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1381 (Ohio) | Primary |
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