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NPI Code Detail

MEDICARE: MRS. CAROLINE ELIZABETH MILLER M.S., LPC

MEDICARE: MRS. CAROLINE ELIZABETH MILLER M.S., LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2811AL
2101YP2500XProfessional Counselor60989TX
3101YP2500XProfessional Counselor0701007063VA

General Provider Information

NPI Number : 1447572078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINE ELIZABETH MILLER M.S., LPC
Provider Business Mailing Address
First Line : 2176 S TERRACE DR
Second Line :
City : WICHITA
State : KS
Zip : 67218-5046
Country : US
Telephone Number : 757-231-6343
Fax Number :
Provider Business Practice Location Address
First Line : 249 CENTRAL PARK AVE STE 300
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3271
Country : US
Telephone Number : 757-231-6343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2010
Last Update Date : 08/22/2024

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