Organization
MELANIE A MILLER LSCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE A. MILLER GARRETT LSCSW (THERAPIST/OWNER)
(316) 288-0090
Entity
Organization
Contact information
Practice address
1900 N AMIDON AVE STE 207, WICHITA, KS 67203-2140
(316) 288-0090
Mailing address
224 E 2ND ST, NEWTON, KS 67114-3404
(316) 288-0090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW2157
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069800
BLUE CROSS BLUE SHIELD OF KANSAS
KS
Enumeration date
04/10/2018
Last updated
04/16/2018
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