Miller, Ayisha R

Miller, Ayisha R is an sole proprietor health care provider with primary practice located at 1312 Donaghey Ave , Conway AR 72034-3807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miller, Ayisha R can be contacted via phone (501) 366-3600.

Contact Information

Primary practice address
1312 Donaghey Ave Conway AR 72034-3807
Phone: (501) 366-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P0409039 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X Arkansas

Profile Details

NPI number 1275628281
LBN Legal business name Miller, Ayisha R
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Mar 18th, 2015 - about 11 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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