Millere, Mauricelm-Lei

Millere, Mauricelm-Lei is an sole proprietor health care provider with primary practice located at 112 Garland Ave , West Helena AR 72390-2440. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is his primary health care specialty. Millere, Mauricelm-Lei can be contacted via phone (270) 801-3436.

Contact Information

Primary practice address
112 Garland Ave West Helena AR 72390-2440
Phone: (270) 801-3436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 261QR0405X Arkansas
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 261QR0405X North Carolina

Profile Details

NPI number 1922754118
LBN Legal business name Millere, Mauricelm-Lei
Credentials PSYCHIATRY CLINICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2022
Last updated Feb 25th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922754118 NPPES
Ohio Other 201823400828 STATE OF OHIO CERTIFICATE / TRADE NAME REGISTRATION

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