Miller, Samantha

Miller, Samantha is an individual health care provider with primary practice located at 350 Interlocken Blvd , Broomfield CO 80021-3477. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miller, Samantha can be contacted via phone (720) 523-1116.

Contact Information

Primary practice address
350 Interlocken Blvd Broomfield CO 80021-3477
Phone: (720) 523-1116
Fax: (720) 523-1116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC.0015805 Colorado

Profile Details

NPI number 1639567217
LBN Legal business name Miller, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2015
Last updated Feb 1st, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639567217 NPPES
Colorado Other LPCC.0015805 NO MEDICAID

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