Coffee, Miranda

Coffee, Miranda is an individual health care provider with primary practice located at 2611 Wayne Ave Bldg 61 , Dayton OH 45420-1833. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Coffee, Miranda can be contacted via phone (937) 228-0579.

Contact Information

Primary practice address
2611 Wayne Ave Bldg 61 Dayton OH 45420-1833
Phone: (937) 228-0579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1881174399
LBN Legal business name Coffee, Miranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2018
Last updated Jun 1st, 2023 - about 3 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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