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MARY L MILLER M.A. P.A. NPI 1275514945


NPI Information

NPI: 1275514945
Provider Name: MARY L MILLER, M.A., P.A.

Doing Business As: MARTY MILLER, M.A., P.A.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1101 W HIBISCUS BLVD
SUITE 104
MELBOURNE, FL
ZIP 32901
Phone: (321) 723-0070
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MARY L MILLER, M.A., P.A. is a mental health counselor in Melbourne, FL. MARY L MILLER, M.A., P.A. NPI is 1275514945. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Marty Miller, M.a., P.a..

The provider's business location address is:

1101 W HIBISCUS BLVD
SUITE 104
MELBOURNE, FL
ZIP 32901-718
Phone: (321) 723-0070
Fax: (321) 723-6150

The provider's authorized official is Barbara Young .
The authorized official title is Office Manager and has the following contact phone number (321) 723-0070.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 6/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthMH1556FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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