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1700963923 NPI number — STEPHANIE LYNN MILLER LCSW

NPI Number: 1700963923
Health Care Provider/Practitioner: STEPHANIE LYNN MILLER LCSW

Information about “1700963923” NPI (STEPHANIE LYNN MILLER LCSW) exists in 1700963923 in HTML format HTML  |  1700963923 in plain Text format TXT  |  1700963923 in PDF (Portable Document Format) PDF  |  1700963923 in an XML format XML  formats.

NPI Number : 1700963923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700963923",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "STEPHANIE",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PELTON-MILLER",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2003 N 38TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KILLEEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76543-2624",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "254-200-1898",
    "MailingAddressFaxNumber": "254-699-3984",
    "FirstLinePracticeLocationAddress": "36065 SANTA FE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT HOOD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76544-5060",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-286-7079",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "10/11/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "26280",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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