Organization
BERNADETTE MULLINS MILLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNADETTE MULLINS-MILLER MSSW LCSW (PRESIDENT)
(414) 378-0999
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD STE 305, WAUWATOSA, WI 53226-1303
(414) 378-0999
(414) 536-8605
Mailing address
2600 N MAYFAIR RD STE 305, WAUWATOSA, WI 53226-1303
(414) 378-0999
(414) 536-8605
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39223700
—
WI
01
—
SUFFIX B
HUMANA ID NUMBER
WI
Enumeration date
04/17/2007
Last updated
06/24/2014
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