Miro, Mariah C
Miro, Mariah C is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Miro, Mariah C can be contacted via phone (984) 974-3844.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27514-4220
Phone: (984) 974-3844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-18-145 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Oregon |
Profile Details
| NPI number | 1083128516 |
|---|---|
| LBN Legal business name | Miro, Mariah C |
| Credentials | CADC CANDIDATE/QMHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2017 |
| Last updated | May 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083128516 | NPPES |
| Oregon | MEDICAID | 500743935 | |
| Oregon | MEDICAID | 500750351 |
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