Individual
MIRANDA FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5004 ELK RIVER RD S, ELKVIEW, WV 25071-9619
(304) 759-9835
Mailing address
5004 ELK RIVER RD S, ELKVIEW, WV 25071-9619
(304) 759-9835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
251S00000X
Community/Behavioral Health Agency
Primary
—
WV
Other
Enumeration date
01/29/2025
Last updated
04/06/2026
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