Miller, Ebony Angelique
Miller, Ebony Angelique is an individual health care provider with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Ebony Angelique can be contacted via phone (616) 855-5100.Contact Information
Primary practice address
790 Fuller Ave Ne
Grand Rapids MI 49503-1918
Phone: (616) 855-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801103998 | Michigan |
Profile Details
| NPI number | 1285277954 |
|---|---|
| LBN Legal business name | Miller, Ebony Angelique |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2019 |
| Last updated | Mar 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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