DR. MAURICELM-LEI MILLERE PSYCHIATRY CLINICIAN NPI 1922754118

NPI Information

NPI: 1922754118
Provider Name: DR. MAURICELM-LEI MILLERE, PSYCHIATRY CLINICIAN
Classification: Clinic/Center - 261QR0405X
Entity Type: Individual

Specialization: Rehabilitation, Substance Use Disorder

Address:
112 GARLAND AVE
WEST HELENA, AR
ZIP 72390
Phone: (270) 801-3436
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DR. Mauricelm-lei Millere, PSYCHIATRY CLINICIAN is a rehabilitation and substance use disorder clinic center in West Helena, AR. DR. Mauricelm-lei Millere, PSYCHIATRY CLINICIAN NPI is 1922754118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

112 GARLAND AVE
WEST HELENA, AR
ZIP 72390-440
Phone: (270) 801-3436

The enumeration date for this NPI number is 2/25/2022 and was last updated on 2/25/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	261QR0405X	ARKANSAS	Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	261QR0405X	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201823400828	OTHER	OHIO	STATE OF OHIO CERTIFICATE / TRADE NAME REGISTRATION

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

NPI Synchronization or Removal

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