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NPI Code Detail

MEDICARE: MIRA AURORA PILIPOVIC MA, NCC, LMHCA

MEDICARE: MIRA AURORA PILIPOVIC MA, NCC, LMHCA
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
1101YM0800XMental Health Counselor88001789AIN

General Provider Information

NPI Number : 1871288142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRA AURORA PILIPOVIC MA, NCC, LMHCA
Provider Business Mailing Address
First Line : 6446 SATIN AVE
Second Line :
City : PORTAGE
State : IN
Zip : 46368-4586
Country : US
Telephone Number : 219-707-1101
Fax Number :
Provider Business Practice Location Address
First Line : 2501 VALLEY DR
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2518
Country : US
Telephone Number : 219-707-1101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 04/11/2023

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