Organization
MILLIA PROMOTIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KHAMILLIA A HARRIS (CEO)
(480) 233-9783
Entity
Organization
Contact information
Practice address
9617 N METRO PKWY W, PHOENIX, AZ 85051-1400
(480) 233-9783
(480) 718-7710
Mailing address
PO BOX 46324, PHOENIX, AZ 85063-6324
(480) 233-9783
(480) 718-7710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
225C00000X
Rehabilitation Counselor
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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